PHILIPS PCR Eleva v11 en 4512 987 12111 Rev Af

English
Instructions for Use
PCR Eleva
Version 1.1
4512 987 12111 AF/732 * 2007-12 en
4512 987 12111 – en
PCR Eleva Version 1.1
4512 987 12111 – en

4512 987 12111 – en

4512 987 12111 – en

PCR Eleva Version 1.1 4512 987 12111 – en

4512 987 12111 – en

4512 987 12111 – en

PCR Eleva
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Version 1.1
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2.1 The PCR Eleva ................................................................. 2-3

2.2 About these Instructions for Use ....................................... 2-3
2.3 Normal use ....................................................................... 2-4
2.4 Prohibited use ................................................................... 2-4
2.5 Conformity ....................................................................... 2-5
2.5.1 Compliance with legal requirements ................... 2-5
2.5.2 Recycling ........................................................... 2-5
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2.5.3 Mercury (USA only) .......................................... 2-5

2.5.4 Perchlorate ......................................................... 2-5
2.5.5 RoHS (China only) ............................................ 2-5
2.6 Training ............................................................................ 2-6
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3.1 Safety ................................................................................ 3-3

3.2 Electrical safety .................................................................. 3-3
3.3 Mechanical safety .............................................................. 3-4
3.4 Fire safety .......................................................................... 3-4
3.5 Laser radiation warning ..................................................... 3-4
3.6 Special safety information ................................................. 3-4
3.6.1 Loss of Data Due to Power Outage .................... 3-4
3.6.2 Inferior Quality Due to Multiple Exposure
............................................................................ 3-4
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3.6.3 Damage as a result of incorrect cassette insertion

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............................................................................ 3-4
3.6.4 Data inconsistency ............................................. 3-5
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3.6.5 Using Lead Letters ............................................. 3-5

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3.7 Electromagnetic Compatibility .......................................... 3-5

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3.8 Error messages ................................................................... 3-6

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PCR Eleva Ver. 1.1 a le C e 5

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4 e e n 4
4.1 System components ........................................................... 4-3

4.1.1 The basic system ................................................ 4-3
4.1.2 Possible configurations ....................................... 4-3
4.2 Standard workflow ............................................................ 4-5
4.3 The operator’s console ....................................................... 4-8
4.4 PCR plate reader ............................................................. 4-10
4.4.1 The PCR Compano plate reader ...................... 4-10
4.4.2 The PCR Corado, CosimaX and S Hi-res plate
readers .............................................................. 4-12
4.4.3 The PCR S and S Plus plate readers ................. 4-14
4.4.4 The PCR AC500 plate reader ......................... 4-18
4.4.5 The PCR AC5000 plate reader ....................... 4-22
4.4.6 The PCR Cosima plate reader .......................... 4-26
5 n e e n 5
5.1 Switching on ..................................................................... 5-3

5.2 Switching off ..................................................................... 5-3
5.2.1 One-console system ............................................ 5-3
5.2.2 Multiple-console system ..................................... 5-4
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6.1 The PCR Compano plate reader ....................................... 6-3

6.1.1 Reading out an image plate ................................ 6-3
6.1.2 Performing secondary erasure ............................. 6-7
6.1.3 Performing primary erasure ............................... 6-8
6.1.4 Switching on/off ................................................ 6-8
6.2 The PCR Corado, CosimaX and S Hi-res plate readers
......................................................................................... 6-11
6.2.1 Distinguishing features ..................................... 6-11
6.2.2 Switching on/off .............................................. 6-11
6.2.3 Reading out an image plate .............................. 6-13
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6.2.4 Performing secondary erasure ........................... 6-17

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6.2.5 Performing primary erasure ............................. 6-17

6.2.6 What to do if the cassette is not scanned .......... 6-18
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6.3 The PCR S and S Plus plate readers ................................ 6-19

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6.3.2 Switching on/off .............................................. 6-19

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6.3.5 Performing primary erasure .............................. 6-26
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6.4 The PCR AC500, AC5000 and Cosima plate readers

......................................................................................... 6-28
6.4.2 Switching on/off .............................................. 6-28
6.4.3 Insert the cassette ............................................. 6-31
6.4.4 Removing the cassette ...................................... 6-34
6.4.5 Screen saver ...................................................... 6-34
6.4.6 Working with information windows ................ 6-34
6.4.7 Processing a cassette with priority ..................... 6-35
6.4.10 Adjusting gray levels manually .......................... 6-40
6.4.11 Processing unregistered image plates ................. 6-41
6.4.12 Utilities ............................................................ 6-43
6.4.13 Error messages .................................................. 6-58
6.5 Making exposures ............................................................ 6-60
6.5.1 Exposure parameters ........................................ 6-60
6.5.2 Positioning the cassette ..................................... 6-60
6.6 Cassettes and image plates .............................................. 6-61
6.6.1 Handling cassettes and image plates ................. 6-61
6.7 Notes on radiography ...................................................... 6-62
6.7.1 UNIQUE, UM and DRR ................................ 6-62
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6.7.2 Notes on radiography techniques with UNIQUE

.......................................................................... 6-63
6.8 The Exposure Index ........................................................ 6-63
7 e e n e 7
7.1 About this Chapter ............................................................ 7-3

7.2 What the operator’s console can do ................................... 7-3
7.3 How to use the operator’s console ..................................... 7-5
7.3.1 The Touch Screen .............................................. 7-5
7.3.2 Selecting the Section .......................................... 7-5
7.3.3 Scrolling Through Lists ...................................... 7-5
7.3.4 Operating the Slide Controls .............................. 7-6
7.3.5 Operating Drop-Down Lists .............................. 7-6
7.3.6 Operating the Selection Fields ............................ 7-7
7.3.7 Operating Switches ............................................ 7-7
7.3.8 Setting the on-screen keyboard ........................... 7-8
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7.4 In an emergency ................................................................ 7-9

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8.1 The Patient list .................................................................. 8-3

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8.2 Entering patient and examination data .............................. 8-5

8.2.1 Entering patient data .......................................... 8-5
8.2.2 Adding a Study .................................................. 8-7
8.2.3 Adding Examination Types ................................ 8-7
8.2.4 Deleting a study ................................................. 8-8
8.2.5 Deleting examination types ................................ 8-8
8.2.6 Customizing the Patient List .............................. 8-9
8.2.7 Finding a Patient in the Patient List ................ 8-10
8.2.8 Changing Patient and Examination Data ......... 8-10
8.2.9 Deleting a patient's data from the Patient List
.......................................................................... 8-11
8.3 Getting patient data from RIS ......................................... 8-13
8.3.1 Updating the patient list .................................. 8-13
8.3.2 Getting individual examinations from RIS (only via
DICOM RIS) .................................................. 8-13
9 e n ee n n 9
9.1 The Examination section ................................................... 9-3

9.2 Overview ........................................................................... 9-4
9.3 Examination procedure – Overview .................................. 9-5
9.4 Examination steps in detail ................................................ 9-8
9.4.1 Assigning cassettes .............................................. 9-8
9.4.2 Reading out image plates on the plate reader
............................................................................ 9-9
9.4.3 Checking image quality on the operator’s console
............................................................................ 9-9
9.4.4 Exporting exposures, printing and completing the
examination ..................................................... 9-11
9.4.5 Making more than one exposure with the same view
.......................................................................... 9-12
9.5 Workflow control ............................................................ 9-14
1 e e e e n 1
10.1 The Review section ......................................................... 10-3

10.2 Exporting Images to an External DICOM Destination
......................................................................................... 10-5
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10.3 Image processing tool functions ...................................... 10-5

10.4 Individual image processing tools .................................... 10-6
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10.4.1 Calling up image processing tools ..................... 10-6

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10.4.2 Setting Contrast and Brightness ....................... 10-7

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10.4.3 Setting image processing protocols ................... 10-8

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10.4.4 Setting image processing parameters ................. 10-9

10.4.5 Rotating and Flipping an Image ..................... 10-11
10.4.6 Annotating an image ...................................... 10-11
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10.4.7 Shutter Function ............................................ 10-12

10.4.8 Scaling ........................................................... 10-15
10.4.9 Moving images between examinations ............ 10-16
10.4.10 Stitching ........................................................ 10-17
10.4.11 Measurements ................................................ 10-23
10.4.12 Resetting image .............................................. 10-24
10.4.13 Customizing image processing tools ............... 10-24
11 n 11
11.1 Overview ......................................................................... 11-3

11.1.1 The Print Section ............................................. 11-3
11.1.2 The Patient Information Window .................... 11-5
11.1.3 The Image Memory ......................................... 11-5
11.1.4 The Preview Window ....................................... 11-5
11.1.5 The template editor .......................................... 11-8
11.1.6 The Text Box Editor ...................................... 11-11
11.1.7 Activating Print Section ................................. 11-13
11.1.8 Editing Images and Viewports ........................ 11-14
11.1.9 The Tools for Free Composing ...................... 11-15
11.1.10 Extras ............................................................. 11-16
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11.1.11 Using the template editor ............................... 11-17
12 e 12
12.1 What is iSite? .................................................................. 12-3

12.2 Log in ............................................................................. 12-4
1 e n n n n
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13.1 The System section ......................................................... 13-3

13.2 Adjusting the touch screen .............................................. 13-8
13.2.1 Opening the setting screen ............................... 13-8
13.2.2 Brightness ........................................................ 13-8
13.2.3 Calibration ....................................................... 13-8
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14.1 Service ............................................................................. 14-3

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14.1.1 Safety Checks ................................................... 14-3

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14.1.2 Repairs ............................................................. 14-4

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14.1.3 Recording Results ............................................. 14-4

14.1.4 Obligations of the user ..................................... 14-4

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14.2 Tests by the user .............................................................. 14-4

14.3 Cleaning .......................................................................... 14-5
14.3.1 Cleaning the System ......................................... 14-5
14.3.2 Cleaning the PCR plate reader ......................... 14-5
14.3.3 Cleaning the image plates ................................. 14-8
14.4 Disposal ........................................................................ 14-10
14.4.1 Recycling ....................................................... 14-10
14.4.2 RoHS requirements (China) .......................... 14-10
15 e n 15
15.1 General data .................................................................... 15-3

15.1.1 Ambient conditions and power supply ............. 15-3
15.1.2 Operator’s console ............................................ 15-3
15.1.3 Computer ........................................................ 15-4
readers .............................................................. 15-4
15.1.6 The PCR AC500 plate reader .......................... 15-7
15.1.7 The PCR AC5000 plate reader ........................ 15-8
15.1.9 PCR Compano plate reader ........................... 15-10
15.2 Electromagnetic compatibility (EMC) data ................... 15-11
15.2.1 Electromagnetic emission ............................... 15-11
15.2.2 Electromagnetic interference immunity –
recommended safety distances ........................ 15-12
15.3 Labels ............................................................................ 15-13
15.3.1 Operator’s console .......................................... 15-13
readers ............................................................ 15-15
15.3.4 The PCR S and S Plus plate readers ............... 15-15
15.3.6 The PCR AC5000 plate reader ...................... 15-17
15.3.7 The PCR Cosima plate reader ........................ 15-18
1 en 1
16.1 Notes on Radiography Techniques with UM and DRR

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......................................................................................... 16-3
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16.2 If the barcode reader is not working .............................. 16-11

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16.3 Error messages ............................................................... 16-12

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16.3.1 What you should know .................................. 16-12

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16.3.2 Type 1 messages ............................................. 16-13

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16.3.3 Type 2 messages ............................................. 16-20

16.3.4 Type 3 messages ............................................. 16-23
16.3.5 Type 4 messages ............................................. 16-25

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Software Rel. 1.1 offers a number of new functions over earlier versions.
As a quick guide, the most important ones are explained in brief below;
for further information please go the chapter you are referred to.
Contrast and brightness
The buttons for contrast and brightness are now on the monitor itself
(chapter 10.4.2).
Turning a function on/off.
You can change contrast and brightness

using the buttons or
on the monitor itself, using your finger.
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Moving images between examinations

You can move images
between two examinations on the same patient
between examinations on different patients.
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Exposure Index EI_s

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Using the Exposure Index, you can compare similar exposures of the
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same organ with the same radiation quality in terms of their dose, and
analyze deviations from the optimum dose (chapter 6.8).
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PCR Eleva Ver. 1.1 a e 1

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The EI_s value appears beneath the image along with the exposure and
examination data in the “Examination” and “Review” sections.
In an emergency
The system has an operating mode for emergencies (chapter 7.4), if you
neither have a valid user account nor know the password.
Length and angle measurement

You can measure lengths and angles including Cobbs angle (option)
(chapter 10.4.11).
Magnifying an image and moving a section
The buttons for scaling and moving are now on the monitor itself
(chapter 10.4.8).
Switching a function on/off.
You can move the image

using the mouse or
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on the monitor itself, using your finger.

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Stitching
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You can stitch several images together automatically or manually to form

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one large image (chapter 10.4.10.1).

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14 a e PCR Eleva Ver. 1.1

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2 n n 2
2.1 The PCR Eleva ................................................................. 2-3

2.2 About these Instructions for Use ....................................... 2-3
2.3 Normal use ....................................................................... 2-4
2.4 Prohibited use ................................................................... 2-4
2.5 Conformity ....................................................................... 2-5
2.5.1 Compliance with legal requirements ................... 2-5
2.5.2 Recycling ........................................................... 2-5
2.5.3 Mercury (USA only) .......................................... 2-5
2.5.4 Perchlorate ......................................................... 2-5
2.5.5 RoHS (China only) ............................................ 2-5
2.6 Training ............................................................................ 2-6
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This system is designed for digitizing cassette exposures on conventional
examination workstations in diagnostic radiology. The PCR system uses
so-called image plates instead of screen-film systems.
With PCR systems you can make, digitize, process and transfer filmless
cassette exposures. They are fully automatic – from the entering of the
patient data and processing parameters through to film composition.
You can print any required films of these exposures.
The PCR system automatically communicates with other DICOM
partners and archives via the hospital network. Two-way data transfer
Radiology Information System) guarantees effi-
with an existing RIS (R
cient data communication within the radiology department.
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22 e e n n e
This manual is intended to make it possible for you to work with the
device described safely.
You may only use this device in compliance with the safety instructions
in this manual and not for purposes other than those for which it was
intended.
Please pay particular attention to all the information given in the chapter
“Safety instructions”.
Conventions
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Conditions for operation are preceded by this icon.

Single steps in an action are preceded by this icon.
PCR Eleva Ver. 1.1 2

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The result produced by a step is preceded by this icon.
System configurations
This manual describes the system with its broadest range of features,
including all possible functions, options and all accessories. Your system
will not necessarily have every function described.
You can only use some of the functions if you have received training in
them by an application specialist, and have specially logged on to get
these privileges. Such functions are marked “For the system manager
only”.
Depending on the features you have, other manuals may be delivered
with your system; these contain instructions on safety, calibration, sys-
tem tests and service and maintenance.
These Instructions for Use are written in English and were created, au-
thorized and marketed by Philips Medical Systems DMC GmbH under
the number given on the front cover.
2 e
PCR Eleva S, S Plus, S Hi-res, Corado and CosimaX readers may be
installed in the patient environment of a medically used room, but only
with an additional permanently connected protective grounding wire.
All other equipment of PCR Eleva shall be installed either outside the
patient environment of a medically used room or in a non-medically
used room.
Readers AC500, AC5000, Cosima and Compano may only be installed
in a non-medically used room.
The PCR Eleva system is designed to process, display and output radio-
logical images produced by means of cassette exposures and processed
within the PCR system.
The PCR Eleva system is not suitable for processing and displaying
digital images produced on other manufacturers’ systems or compressed
using non-system software.
Diagnosis is only possible on suitable PACS monitors or on printed
films.
This device may only be operated by suitably qualified persons who have
been instructed on how to operate the device.
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The system-own monitor is not approved for diagnosis.
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PCR Eleva is not an archive and can save exposures only for a limited
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period. You always should save exposures either to PACS or print them
on films.
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24 PCR Eleva Ver. 1.1

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251 n e e e e en
This Medical Device meets the provisions of the Medical Device Di-
rective MDD 93/42 EEC (93).
If you have further questions regarding the applicable national or in-
ternational standards, please address them to:
Philips Medical Systems DMC GmbH
Quality Assurance Department
Roentgenstrasse 24
22335 Hamburg
Germany
E-Mail: helpdesk.xray.gxr@philips.com
252 e n
The return, proper disposal and recovery of the medical device take place
in accordance with the European WEEE Directive (Waste Electrical
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and Electronic Equipment) and/or respective requirements of national

legislation.
For further information see chapter “Disposal”.
For Product Recycling Passport see:
www.medical.philips.com/main/company/sustainability/recycling
25 e n
This product consists of devices that may contain mercury, which must
be recycled or disposed of in accordance with local, state or federal laws.
(Within this system, the backlight lamps in the monitor display and the
fluorescent lamps in the reader contain mercury.)
254 e e
This product complies with the requirements of California. It contains
Perchlorate Material.
Special handling may apply.
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For further information see:

www.dtsc.ca.gov/hazardouswaste/perchlorate
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This product complies with the Chinese requirements.

If necessary you can find further information in chapter “Disposal”.
PCR Eleva Ver. 1.1 25

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Operators of this system must have received adequate training on its
safe and effective use before attempting to operate the equipment de-
scribed in these Instructions for use.
If you require further information about training in the use of the

equipment, please contact your local Philips Medical Systems represen-
tative.
Alternatively, contact:
Philips Medical Systems DMC GmbH
Roentgenstrasse 24
22335 Hamburg, Germany
E-Mail: helpdesk.xray.gxr@philips.com
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2 PCR Eleva Ver. 1.1

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3.1 Safety ................................................................................ 3-3

3.2 Electrical safety .................................................................. 3-3
3.3 Mechanical safety .............................................................. 3-4
3.4 Fire safety .......................................................................... 3-4
3.5 Laser radiation warning ..................................................... 3-4
3.6 Special safety information ................................................. 3-4
3.6.1 Loss of Data Due to Power Outage .................... 3-4
3.6.2 Inferior Quality Due to Multiple Exposure
............................................................................ 3-4
3.6.3 Damage as a result of incorrect cassette insertion
............................................................................ 3-4
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3.6.4 Data inconsistency ............................................. 3-5

3.6.5 Using Lead Letters ............................................. 3-5
3.7 Electromagnetic Compatibility .......................................... 3-5
3.8 Error messages ................................................................... 3-6
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You may only use this device in compliance with the safety instructions
in this manual and not for purposes other than those for which it was
intended.
It is always the user who is responsible for conforming to the regulations
which apply to the setting up and operation of medical equipment.
If the user wishes to connect the equipment to other equipment,

components or assemblies and if it is not apparent from the technical
data whether it can be safely combined with such equipment, com-
e
ponents or assemblies, the user must consult the manufacturers

concerned or an expert to ensure that the safety of the patient, op-
erating staff and the environment is not affected by the intended
combination.
Philips only accepts responsibility for the safety features of its prod-
ucts if maintenance, repairs and modifications are performed by
Philips or persons explicitly authorized to do so by Philips.
As with any technical appliance this equipment also calls for proper
operation and regular competent maintenance and care, which are
described in the section “Service and cleaning”.
If you operate the equipment incorrectly or if the user fails to main-
tain it properly, Philips cannot be held liable for any resulting faults,
damage or injuries.
Safety circuits may be neither removed nor modified.
You may only remove or open parts of the housing if you have
been instructed to do so by this manual.
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This device conforms to class I according to IEC 60601-1/IEC 60950-1.

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This equipment may only be operated in medical rooms which meet

IEC requirements.
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To guarantee the reliable operation of the workstation and to prevent

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the device from overheating, the device openings must not be blocked
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off or covered. The workstation must never be positioned near radiators.

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Some of the workstation components are high-voltage. Only electricians

may remove the device’s covers.
PCR Eleva Ver. 1.1 ae

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All plate readers use laser radiation (class IIIb, 50 mW).
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This device should be connected to an uninterruptible power system to
prevent database damage and image loss in the event of a power outage.
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When using UNIQUE image processing there must be only one image
on a cassette. Otherwise, the image processing may fail to correctly find
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the region of interest.

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Always slide the cassettes into the cassette compartment of the plate
reader with care. Incorrect insertion of a cassette, for instance if it is at
4 ae PCR Eleva Ver. 1.1

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an angle, can damage the plate reader. Please observe the instructions
in chapter 6.1.1.
4 n n en
Do not switch off the operator’s console at the power switch if the PCR
application program is displayed. This can lead to database errors or
data inconsistencies. Always follow the sequence for switching off as
described in chapter 5.
5 n e e e
To avoid false interpretation regarding body direction (right, left) and
patient orientation, Philips recommends the use of lead markers (let-
ters), as traditionally used in conventional radiography.
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The system conforms to the classification Group 1, Class A under
CISPR 11. It contains Class A IT components according to CISPR 22.
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Although it has been shown that this does not have a detrimental effect
on the performance and safety of the system, electromagnetic incom-
patibilities may arise when operated in residential areas. In such an
event, it may be necessary for the user to take appropriate measures.
For the intended use, this X-ray system complies with the European
Council Directive concerning Medical Devices, as signified by the CE
mark. This includes definitions on permitted levels on electromagnetic
emission and requirements on immunity against electromagnetic emis-
sions from other equipment.
It is not possible, however, to exclude with absolute certainty the pos-
sibility that other high frequency electronic equipment, which is fully
compliant to the EMC regulations, will not adversely affect the opera-
tion of this system. If the other equipment has a comparatively high
level of transmission power and is in close proximity, these EMC con-
cerns (the risk of interference) may be more pronounced. It is therefore
recommended that the operation of equipment of this type such as mo-
bile telephones, cordless microphones and other similar mobile radio
equipment be restricted from the vicinity of this X-ray system.
Explanation:
Electronic apparatus that satisfies the EMC requirements is designed so
that under normal conditions there is no risk of malfunction caused by
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electromagnetic interference. However, in the case of radio signals from

high-frequency transmitters with a relatively high transmission power,
the risk of electromagnetic incompatibility when operated in close prox-
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imity to electronic apparatus cannot be totally ruled out.

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In unusual circumstances unintended functions of the apparatus could

be initiated, possibly giving rise to undesirable risks for the patient or
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user.
PCR Eleva Ver. 1.1 ae 5

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For this reason, all kinds of transmission with mobile radio equipment
should be avoided. This also applies when the equipment is in “standby”
mode.
Mobile telephones must be switched off in designated problem zones.
8 e e
When an error has occurred in the system or a part thereof, an error
message appears on the operator’s console monitor with instructions on
how to rectify it (example).
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ae PCR Eleva Ver. 1.1

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PCR Eleva Ver. 1.1 ae 7

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8 ae PCR Eleva Ver. 1.1

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4 e e n 4
4.1 System components ........................................................... 4-3

4.1.1 The basic system ................................................ 4-3
4.1.2 Possible configurations ....................................... 4-3
4.2 Standard workflow ............................................................ 4-5
4.3 The operator’s console ....................................................... 4-8
4.4 PCR plate reader ............................................................. 4-10
4.4.1 The PCR Compano plate reader ...................... 4-10
readers .............................................................. 4-12
4.4.4 The PCR AC500 plate reader ......................... 4-18
4.4.5 The PCR AC5000 plate reader ....................... 4-22
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4 e e n
41 e nen
411 e e
It consists of
an operator’s console with monitor or touch screen, barcode reader,
keyboard and mouse
a plate reader.
When you work with a touch screen you require neither a mouse nor
keyboard for operation.
You can combine more than one plate reader and operator’s console to
form a system.
During exposure there is no mechanical connection between plates and
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system, so that in the event of incorrect configuration or cassette use,

the system cannot, for instance, accurately show the status of a flipped
image or the assignment to a patient.
412 e n n
One-console system with one plate reader
This configuration is the basic configuration for a PCR system. You can
work with or without being connected up to the hospital network.
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Multiple-console system with one plate reader

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This configuration is the extended basic configuration. To achieve a

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more efficient workflow, you can set up more than one operator’s con-
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sole, e.g. in the various examination rooms and in patient admissions.

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At the same time, the entire system is connected up to the hospital

network. The assignment of image plate to patient and vice versa is
always unique.
PCR Eleva Ver. 1.1 e e 4

41 e nen
PCR operator’s console PCR operator’s console

Plate reader at plate reader in examination room
Hospital network
Printer
Multiple-console system with more than one plate reader (option)

With configurations of this type you can read out any plate cassette on
any plate reader, regardless of the operator’s console on which you as-
signed the image plate, or with which console the patient data is
managed. After readout the image always comes to the operator’s con-
sole to which the image plate is assigned.
The following applies to all configurations

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All operator’s consoles have independent worklists and are

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synchronized with the RIS separately.

On any one operator’s console you can view, process, print and ex-
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port only the images assigned to it. You should therefore perform
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an examination to the fullest possible extent on one operator’s con-

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sole only.
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44 e e PCR Eleva Ver. 1.1

n 42
Server and client

In a multiple-console system, one console is always the server, which
assigns the image plates and distributes the images. If this breaks
down or is not switched on, no image plates can be assigned or im-
ages read out in the entire system. Always switch the server on first
and off last.
If, in a multiple-console system with more than one plate reader, the
server is down, the system manager can convert the operator’s con-
soles which operate another plate reader into servers so that it is
possible to continue working with part of the system.
42 n
The following diagram shows the standard workflow with the PCR sys-
tem, by way of example. You will find alternatives to the described
assignment with the barcode reader in the rest of the manual.
The differences to conventional radiography are as follows:
You work with plate cassettes instead of film cassettes.
Before radiography, you must assign the plate cassette to a view using
the barcode reader.
After radiography, you must read out the plate cassette in the plate
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reader.
The X-ray exposure is automatically transferred from the plate reader
to the operator’s console.
For filing purposes, you can print out the X-ray exposure or save it
on computer.
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4 e e n e
4 e e n e
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You can select the sections using the main selector buttons (11-6). When
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a section is selected the button for it turns yellow.

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You can do the following in the sections:

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e e n e 4
n n e nn
en E e a e a e a a aaa ele
a e
n n C l ee a a a a e
a e la e
e e C e a e e a ve e a e
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n ll e l ee
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e ve
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44 e e e
44 e e e
441 e n e e e
1 2 3 4 5 6 7
11 10
The plate reader reads out the exposed image plates. The image plates
are contained in the plate cassettes.
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C l a el ea a
a la
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ee e e a e ea e a ee
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e ll le e a e la e ea e ea e a
e e
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a la a e e e
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e la a e e e
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a e

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e a e a
e l ell a e al a ea
e e ea le ll ee
a e e a e a ea a a le a al ve
Eae a a e a ea e
Pe e eava e e e a ea e e a
a ea e e Pe a a a va e e a
ea e e a a ea e e e e e
e a a
Pl la
ee e e a
Ca e e l
a e e e a e la e e e ee
Re e
l e a e eve e e
al ea
a
al a le l a v a le e
eve l e a e
l e ve la
le e ve e ve la
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PCR Eleva Ver. 1.1 e e 4 11

44 e e e
442 e n e e e e
8 2
3
9
4 10
Distinguishing features
All three plate readers perform the same functions.
The Corado and CosimaX plate readers are identical externally and are
shown in the following picture.
The S Hi-res has only one cassette compartment.
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C l a el
e la e ea e e ve l a el ee
Pl la
ee e e a
P e
e e la e ea e e a
Ca e e a e e
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l a la
ee e a e e e e e a e e a e
a e
e
P e la
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la e le e a e e e e e e la e ea e
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4 12 e e PCR Eleva Ver. 1.1

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a la
e e
a e e l e e a e e l
e la e e a e e
l e ve la
le e ve e ve la
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eve l e a e
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44 e n e e e
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ee el
ele e
ee a ele e ea e ee
Pl la
ee e e a
E e av a
el la e e e av e
Rea a
l ee e la e ea e ea ea
a la a e e e
ee e a e e a e e e l
la e ee e le e
e a e la e e a e ea a
l a la
la e l e e e a e e a e e ve e e a e e a
ee e ve e la e
e a e a
e la e ell a e al a ea
e e ea le ll ee a
e e a e a ea a a le a al ve
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P e
e e la e ea e e a
Ca e e l le
a e e a e la e e e ee
a
eve l e a e
a e
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44 e e e
Start screen
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e a e e ele e e a ea ee
el e e a e
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a la
P e a
la e a a e e e ee el
aaa a
e e a
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The progress indicator

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444 e 5 e e e
Fig. 4.1 Hardware, front view
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ee l a el
Rea e e ae la e e le e e ee
e e e e ee a ee ele
l ve
P l C e ev e l
C a l
e e ee la a a e e a
a ea e a e e ve a el e
a la
ee e e a e e a ee e ll
le e a e a e e l ea e a a e e e
l a a e e e e e
l a la
ee e a e e e e e a e e
ee a e a e la e a e a e
a e a e
e a a e a e e e e a e e
Ca e e l
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a e a a e e e e a e la e
ve
P e
e e la e ea e e a
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P e a
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ee e e a a e
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le e e a all le e e
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E a
a e e a al e a e ea
ala al ea a a a ea e ee ll e
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e a e a
e a l ell a ala al ea
e al a a ea e ee ll e
ve e e e e a ea e e a e a al
e
Rea a
e e
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Fig. 4.2 Hardware, side view
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al a le e
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le e ve e ve la
Re e
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44 e e e
Fig. 4.3 User interface
The diagram shows the main window on the AC500 which appears after
switching on. It is the central window for all displays and the starting
point for the selection of other functions.
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E e e
e al a a e e la e ea e e
e vel
Pa e e
E a a e
Pa e a e
ee e e l e e e
ea e e a e e l
P a ea e
e a ea e
P a e e e
a a
la e e a a C e ev e e e a
ea e
e
ele e l e a e a ea ea a e e
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P e a
a e e e e e a e e val
Ca e e a e e e a ea
Rea e Ea e e
Ea e e Ea e l e
P e le e a a a e e e val
P e e e e e e
e e e a ee e e a a ea e
e e e e e e
a
Call el a e e e e e
l e
Call l e
la a ea
la ee e e l e ea
ea e
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la e e la e ea e e
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44 e e e
445 e 5 e e e
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ee l a el
e e e e ee a ee ele
l ve
P l C e ev e l
C a l
e e ee la a a e e a
Ca e e l e
Ca e e l e
a la
l a a e e e e e
l a la
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a e a e
ve
Ca e e l
e
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P e
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e e la e ea e e a
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P e a
ee e e a a e
le e e a all le e e
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E a
a e e a al e a e ea
ve
e a e a
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Rea a
e e
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Fig. 4.5 Side view
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a
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le e ve e ve la
Re e
l e a e eve ea e e
al e a
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44 e e e
The diagram shows the main window on the AC5000 which appears
after switching on. It is the central window for all displays and the start-
ing point for the selection of other functions.
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E e e
e vel
Pa e e
E a a e
Pa e a e
ee e e l e e e
ea e e a e e l
P a ea e
e a ea e
P a e e e
a a
ea e
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P e a
Ca e e a e e e a ea
Rea e Ea e e
Ea e e Ea e l e
P e e e e e e
e e e e e e
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Call el a e e e e e
l e
Call l e
la a ea
la ee e e l e ea
Ca e e l e
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Ca e e l ee ve le e e ve e a
e e Plea e P l C e ev e
ea e
la e e la e ea e e
Ca e e l e
Ca e e l e ee e e l e e e
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44 e e e
44 e e e e
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ee l a el
e e e e ee a ee ele
l ve
P l C e ev e l
C a l
e e ee la a a e e a
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a la
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l a la
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a e a e
Ca e e l
P e
e e la e ea e e a
P e a
ee e e a a e
le e e a all le e e
e a al a l l
E a
a e e a al e a e ea
ve
e a e a
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Rea a
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le e ve e ve la
a
al a le e
Re e
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44 e e e
The diagram shows the main window on the Cosima which appears
after switching on. It is the central window for all displays and the start-
ing point for the selection of other functions.
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E e e
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Pa e e
E a a e
Pa e a e
ee e e l e e e
ea e e a e e l
P a ea e
e a ea e
P a e e e
a a
ea e
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P e a
Ca e e a e e e a ea
Rea e Ea e e
Ea e e Ea e l e
P e e e e e e
e e e e e e
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Call el a e e e e e
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Call l e
la a ea
la ee e e l e ea
ea e
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la e e la e ea e e
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5 n e e n 5
5.1 Switching on ..................................................................... 5-3

5.2 Switching off ..................................................................... 5-3
5.2.1 One-console system ............................................ 5-3
5.2.2 Multiple-console system ..................................... 5-4
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5 n e e n
51 n n
Philips recommends the following sequence:
Switch on PC.
Log on to program.
Enter user name
Enter password
Switch on the plate reader.
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You will find information about the emergency mode in chapter 7.4.
52 n
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Switch off plate reader.

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System Press System

52 n
The System section appears
Press Exit
Switch off PC
522 e n e e
Proceed as under chapter 5.2.1, but switch the server on first and off
last.
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6.1 The PCR Compano plate reader ....................................... 6-3

6.1.1 Reading out an image plate ................................ 6-3
6.1.2 Performing secondary erasure ............................. 6-7
6.1.3 Performing primary erasure ............................... 6-8
6.1.4 Switching on/off ................................................ 6-8
6.2 The PCR Corado, CosimaX and S Hi-res plate readers
......................................................................................... 6-11
6.2.2 Switching on/off .............................................. 6-11
6.2.5 Performing primary erasure ............................. 6-17
6.2.6 What to do if the cassette is not scanned .......... 6-18
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6.3 The PCR S and S Plus plate readers ................................ 6-19

6.3.2 Switching on/off .............................................. 6-19
6.4 The PCR AC500, AC5000 and Cosima plate readers
......................................................................................... 6-28
6.4.2 Switching on/off .............................................. 6-28
6.4.3 Insert the cassette ............................................. 6-31
6.4.4 Removing the cassette ...................................... 6-34
6.4.5 Screen saver ...................................................... 6-34
6.4.6 Working with information windows ................ 6-34
6.4.7 Processing a cassette with priority ..................... 6-35
6.4.10 Adjusting gray levels manually .......................... 6-40
6.4.11 Processing unregistered image plates ................. 6-41
6.4.12 Utilities ............................................................ 6-43
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6.4.13 Error messages .................................................. 6-58

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6.5 Making exposures ............................................................ 6-60

6.5.1 Exposure parameters ........................................ 6-60
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6.5.2 Positioning the cassette ..................................... 6-60

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6.6 Cassettes and image plates .............................................. 6-61

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6.6.1 Handling cassettes and image plates ................. 6-61

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6.7 Notes on radiography ...................................................... 6-62

6.7.1 UNIQUE, UM and DRR ................................ 6-62
6.7.2 Notes on radiography techniques with UNIQUE
.......................................................................... 6-63
6.8 The Exposure Index ........................................................ 6-63
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1 e n e e e
11 e n n e e
To read out an image plate you must
slide the plate cassette into the plate reader,
have the image plate read out and
remove the plate cassette again.
Insert the cassette

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The patient has been X-rayed. The exposures can be found on

one or more plate cassettes.
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PCR Eleva Ver. 1.1 PCR la e ea e

1 e n e e e
Check that the load lamp is lit on the control panel of the plate
reader.
Turn the cassette so that the side to be exposed faces down, and
the barcode window goes in first and faces up.
Slide the cassette into the cassette compartment straight along the
right feed edge.
Never insert the cassette like this:
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Fig. 6.1 Wrong! Gap between cassette and feed edge

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4 PCR la e ea e PCR Eleva Ver. 1.1

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Fig. 6.2 Wrong! Cassette is at an angle

The cassette slots into place. You will feel slight resistance when
inserting the cassette, which you must overcome.
The load lamp on the control panel of the plate reader goes out.
Image plate readout begins automatically.
The status displays flash on the control panel:
The first arrow flashes during readout. The second arrow flashes
when erasure begins until the image plate is reloaded in the cassette.
Remove cassette
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PCR Eleva Ver. 1.1 PCR la e ea e 5

1 e n e e e
Check that the unload lamp is lit on the control panel.
Pull the cassette in a straight line and slowly out of the cassette
compartment.
The unload lamp goes out; the load lamp lights up.
The cassette is ready for use again.

The exposure which has been read out is added to the patient’s
exposures. Unless you have selected another patient or an-
other exposure for processing, the exposure which has been
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read out appears on the monitor.

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PCR la e ea e PCR Eleva Ver. 1.1

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12 e n e n e e
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Normally, the image plates are automatically erased after readout. If,
however, an image plate has not been used in the past 8 hours, so-called
secondary erasure is necessary. Here, the cassette is merely erased, and
not read out.
With time, the image plates absorb natural radiation, with the result
that images with low exposure levels have a higher noise component. In
applications with a low radiation dose you should therefore perform
secondary erasure on the image plate after prolonged storage.
Proceed as follows:
Press the erase button.
The field beside it displays the “secondary erasure” mode for
the next cassette to be inserted.
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Insert cassette.
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During erasure, the status display for cassette processing flashes.

On the monitor, a message concerning the plate reader mode
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appears above the progress indicator. After erasure, the plate

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reader automatically switches back into normal read mode, mean-

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ing the erasure procedure only ever applies to one cassette.

1 e n e e e
When the unload lamp lights up, erasure is complete. The cassette
can be taken out and used for a new exposure.
1 e n e e
Normally, the image plates are automatically erased after readout. After
incorrect exposure, however, special, primary erasure is necessary. Here,
the cassette is merely erased, and not read out.
Proceed as follows:
Press the erase button twice.
The field beside it displays the “primary erasure” mode for the
next cassette to be inserted.
Insert cassette.
After erasure, the plate reader automatically switches back into
normal read mode, meaning the erasure procedure only ever ap-
plies to one cassette.
When the unload lamp lights up, erasure is complete. The cassette
can be taken out and used for a new exposure.
14 n n
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Power ON
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The PC and the application program on the operator's console

have been started up.
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Press main switch to the “I” position.
The pilot lamp on the control panel of the plate reader lights
up.
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The plate reader begins the start-up procedure, which takes a

short time. Then the load lamp lights up.
The plate reader is ready when the green load lamp lights
up.
Power OFF
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Processing of the last cassette is complete.

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1 e n e e e
The unload lamp lights up.
Remove the cassette from the cassette compartment.
Press main switch to the “0” position.
The PCR Compano is now properly switched off.

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2 e n e e
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21 n n e e
All three plate readers perform the same functions.
The Corado and CosimaX plate readers are identical externally.
The S Hi-res plate reader has only one cassette slot.
The operation of all three plate readers is identical; the operation of a
plate reader with four cassette slots is described below.
22 n n
Power ON
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The pilot lamp lights up.
If the pilot lamp does not light up, the main switch may not be
switched on. If so, press the main switch to the “I” position (on).
Switch on the plate reader.
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2 e n e e e e
The operating system loads the programs required and per-

forms a selftest. Various different displays appear.
After the start-up procedure the main window appears: (Only
one cassette compartment is displayed in the main window of
the S Hi-res)
The plate reader is ready when the load lamps of the cassette
compartments light up.
Power OFF
Make sure that processing of all cassettes is complete (unload
lamps flashing).
Remove all cassettes from the cassette compartments.

Touch the “Shutdown” button in the main window.
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The following confirmation window appears:
Touch the “Power OFF” button

and then “OK”.
After a short time the plate reader switches itself off automatically.
The main switch can be left turned on.
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2 e n n e e
The image does not appear on-screen until read-out is finished.
Insert the cassette
The patient has been X-rayed. The exposures can be found on

one or more plate cassettes.
Turn the cassette so that the front faces up (barcode window goes
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in first and faces up).

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Check that the load lamp of the cassette compartment is lit.

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2 e n e e e e
Place the cassette into the cassette compartment with the front
facing up.
Guide the cassette along the right feed edge, until it slots into
the cassette compartment.
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When the cassette correctly slots into the cassette compartment, the load
lamp of the cassette compartment goes out and the processing lamp
lights up. Image plate readout begins. During this, the cassette is locked
and cannot be taken out. The progress of processing is shown on the
monitor.
Cassette processing is complete when the unload lamp of the cassette
compartment lights up and the processed image is shown in full.
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2 e n e e e e
Remove cassette
Check that the blue unload lamp of the cassette compartment is
flashing.
compartment.
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24 e n e n e e
not read out.
Proceed as follows:
Select the mode in the main window.
Select “Secondary erasure”.
1
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The main window appears once again.

The “Secondary erasure” mode is now activated for the next cas-
sette to be inserted. After erasure, the plate reader automatically
switches back into normal read mode, meaning the erasure pro-
cedure only ever applies to one cassette.
Insert cassette.
During erasure the indicator for the cassette compartment in
use flashes.
The status of erasure is displayed.

When the unload lamp lights up, erasure is complete. The
cassette can be taken out and used for a new exposure.
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2 e n e e e e
Proceed as follows:
Select the mode in the main window.
Select “Primary erasure”.
The main window appears once again.

The “Primary erasure” mode is now activated for the next cassette
to be inserted. After erasure, the plate reader automatically
switches back into normal read mode, meaning the erasure pro-
cedure only ever applies to one cassette.
Insert cassette.
During erasure the indicator for the cassette compartment in
use flashes.
The status of erasure is displayed.

When the unload lamp lights up, erasure is complete. The
cassette can be taken out and used for a new exposure.
2 e e e n nne
If you have forgotten to scan a cassette’s barcode before loading it into
the plate reader, an error message, stating that the image plate cannot
be read out, appears on the monitor, as the plate reader does not have
the data for reading out the cassette. At the same time, the following,
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general error message appears:

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Touch “Stop alarm” on the monitor and confirm unloading of

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the cassette by pressing “Take out cassette”.

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The error message disappears; the cassette is ejected.

Remove the cassette and enter the barcode with the correspond-
ing patient and examination data on the operator's console.
Reload the cassette in a free cassette compartment.
e n e e e
1 n n e e
The S and S Plus plate readers are identical apart from the readout speed
and the 50 µm scanning option.
2 n n
Power ON
e
The PC and the application program on the operator's console

have been started up.
Press main switch to the “I” position.
The pilot lamp on the control panel of the plate reader lights
up.
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ve
e
al
The plate reader begins the start-up procedure, which takes a short
e
time. Then the load lamp lights up.

P l
The plate reader is ready when the green load lamp lights up.

e n e e e
Power OFF
Processing of the last cassette is complete.
The unload lamp lights up.
Take out the cassette
Press “End”
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e n e e e
The following appears
Select “End” with and , then press OK.

The plate reader is now properly switched off.
Switching off “completely”, e.g. for a longer interruption of oper-

ation
Press main switch to the “0” position.
e
The plate reader is now properly switched off.
e n n e e
Insert the cassette

e
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Check that the load lamp on the control panel of the plate reader
is lit.
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P l

e n e e e
Turn the cassette so that the side to be exposed faces down, and
the barcode window goes in first and faces up.
Slide the cassette into the cassette compartment along the right
feed edge.
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e n e e e

e

The cassette slots into place. You will feel slight resistance when
inserting the cassette, which you must overcome.
The load lamp on the control panel of the plate reader goes out.
Image plate readout begins automatically.
The status displays flash on the control panel:
The first arrow flashes during readout. The second arrow flashes
when erasure begins until the image plate is reloaded in the cassette.
Remove cassette
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ve
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e n e e e
Check that the unload lamp on the control panel is flashing:
compartment.

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e n e e e
4 e n e n e e
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not read out.
Press "Mode change".
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e n e e e
Select “Primary erasure” with and , then press OK.

Insert cassette.
When the unload lamp lights up, erasure is complete.
Take out the cassette.

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ve
5 e n e e
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P l

e n e e e
Press "Mode change".

e
Select “Primary erasure” with and select "Primary era-

sure", then press OK.
Insert cassette.
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ve

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4 e 5 5 n e e e
When the unload lamp lights up, erasure is complete.

Take out the cassette.
4 e 5 5 n e
e e
41 n n e e
The AC500 and AC5000 and Cosima plate readers are identical apart
from the number of cassette slots (AC500, AC5000) and the design
(AC500, Cosima). The following descriptions apply to all plate readers
unless explicitly stated otherwise. In each case, the AC5000 is depicted
by way of example.
42 n n
Power ON
Do not switch on the plate reader immediately after switching off;
wait at least 5 seconds.
The power indicator on the control panel of the plate reader is lit.
e
ve
e
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If the pilot lamp is not lit, the main switch may not be switched on. If
e
so, move the main switch to the “I” position (on).

P l

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Switch on the plate reader at the power switch on the control

panel.
e
The operating system loads the programs required and performs

a selftest. The software version is displayed.
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4 e 5 5 n e e e
Then a status window appears in which the individual steps in

the start-up procedure are steadily counted down.
The plate reader is ready to operate when the ready indicator

lights up and the main window appears on the screen.
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Power OFF
Make sure that processing of all cassettes is complete (unload
lamps of all cassette slots are lit).
Then remove all cassettes from the cassette slots.
Switch the plate reader off at the power switch.
After a short time the plate reader switches itself off automatically.
If there are any unprocessed images, the following window ap-
pears:
e
After processing the plate reader switches itself off automatically.

Aborted print or save jobs resume once the plate reader is switched
on.
e
4 n e e e e
ve
You have already entered the image plate barcode on the PCR terminal.
The image plate has been exposed according to the settings on the PCR
e
terminal.
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4 e 5 5 n e e e
Turn the cassette so that the front faces up (barcode window goes
in first and faces up).
Check that the load lamp (X
X) of the cassette slot is lit.
Place the cassette into the cassette compartment with the front
facing up.
Guide the cassette along the right feed edge (X

X) until it engages
in the cassette slot.
The cassette is locked in the cassette slot during processing.

Never insert the cassettes into the cassette slot as follows:
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ve
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Incorrect: The cassette is not lying against the feed edge.
Incorrect: The cassette is crooked.
When the cassette engages correctly in the cassette slot, the load lamp
of the cassette slot goes out. Image plate readout begins automatically.
During that time the cassette is locked in the cassette slot. Processing of
e
the cassette is complete when the unload lamp (X X) lights up.

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4 e 5 5 n e e e
44 e n e e e
Check that the unload lamp (X
X) of the cassette slot is lit.
Slowly pull the cassette out of the cassette slot, keeping it

straight.
You can reuse the cassette for a new exposure straight away. The cassette
slot is ready for insertion of a new cassette.
45 een e
If the screen is not touched for a certain period of time or no cassettes
are processed, the screen saver is automatically activated; the screen goes
black. As soon as the screen is touched or a cassette is inserted, the display
is reactivated.
e
ve
4 n n n n
e
If a problem occurs during operation of the plate reader, an information

al
window appears on-screen with details regarding the problem. Read the
e
information and touch the required button on the screen. The following
P l

e 5 5 n e e e 4
illustration shows an example of an information window:
If the instructions are long, the following symbols are used in the mes-
sage:
C Ca e e l
e
a e e
l e a ve a a
e a le le e
ea C l e e e
a
47 e n e e
This function is only available on the AC5000.
Here you find out how to immediately process a cassette in an emer-
gency, while postponing the processing of other cassettes in the plate
reader.
The following procedure applies to only one cassette at a time and
must be repeated for each additional cassette.
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4 e 5 5 n e e e
Touch this button in the main window:
The following appears:
Touch "URGENT".
The function is activated for the next cassette ( ).
Open the previous window:
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The main window appears.
Insert the cassette (chapter 6.4.3).

The read-out image is processed immediately. When the unload
lamp lights up, you can take out the cassette.
48 e n e n e e
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not read out.
The following procedure applies to only one cassette at a time and
must be repeated for each additional cassette.
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4 e 5 5 n e e e
Touch "SECONDARY ERASURE".

The function is activated for the next cassette. The previous win-
dow automatically appears, displaying "SECONDARY ERA-
SURE" (XX):
Insert the cassette (chapter 6.4.3).

When the unload lamp lights up, you can take out the cassette.
49 e n e e
This section describes how to erase an image plate after an incorrect
exposure or overexposure without performing a readout procedure. In-
correctly exposed image plates are prepared for a new exposure by means
e
of primary erasure.
ve
The following procedure applies only to one cassette and must be

repeated for each additional cassette.
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Touch this switch on the main window.
The following window appears:

e
Touch ”PRIMARY ERASURE“.

The function is activated for the next cassette. The previous win-
dow automatically appears and indicates primary erasure (X X).
e
ve
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al
Insert the cassette into the cassette slot (chapter 6.4.3).

e
The cassette can be removed when the Unload indicator for the
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cassette slot is lit.

4 e 5 5 n e e e
41 n e e n
To adjust the gray levels on the screen of the plate reader, the
Manual mode in the EVA tool must be programmed (Customer
Service).
You can adjust the S and L values on the plate reader to improve the
display of a critical exposure.
The S values (sensitivity) are values for sensitivity when interpreting gray
values and cause a change in brightness. The L values (Latitude) are
values for the latitude of the histogram determined for this exposure and
cause a change in contrast.
After activating "Manual" on the PCR terminal, insert the cas-
sette into the cassette slot.
The following prompt appears after the image plate has been read
out:
Confirm by touching "OK".

e
ve
e
Select "IMAGE DENSITY" and/or "CONTRAST" and set the

al
values required using the arrow buttons.

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ea e val e la e e e
ea e val e all e e
Re e val e all e e
Re e val e la e e e
Then touch this button:
The main window appears.
The image with the adjusted values is transmitted to the operator's con-
sole.
e
4 11 e n n e e e e e
If a cassette is inserted without entering and assigning the appropriate
data first at the operator's console, a message appears on the screen of
the plate reader. In the following example, an unregistered image plate
in cassette slot 3 has been detected (CS = Cassette Slot).
You can discontinue processing of this image plate or continue the pro-
cedure. Philips recommends discontinuing in order to ensure reliable
processing.
e
To cancel processing
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If you discontinue processing, the image plate is neither read out

nor erased. It remains in the original state.
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4 e 5 5 n e e e
If necessary, stop the alarm signal in the information window:
The image plate is reloaded in the cassette.

The following information window appears:
Stop the alarm and then touch this button:
Remove the cassette from the appropriate cassette slot (CS) and
read the barcode after assigning the data at the operator's console.
e
Then reinsert the cassette in the plate reader. The exposure has
ve
not been changed by this procedure.

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To continue processing
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If necessary, stop the alarm signal in the information window:
Touch this button in the information window:
The image plate is read out. The following message appears:

e
Stop the alarm:
Do not press the "OK" button before you have entered image
plate barcode on the operator's console.
At the operator's console select the view and enter the barcode by
hand. Shortly afterwards, the window appears.
e
ve
When the barcode number has been entered the processing pro-
cedure is continued. When it has finished, the cassette can be used
for the next exposure.
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4 12 e
The following sections describe the functions of the utilities for the
AC5000 and AC500 plate readers.

4 e 5 5 n e e e
Overview of functions
In the "User Utility" window, you can select the following functions:
Delete waiting images

You can delete exposures still awaiting processing which are stored on
the hard disk of the plate reader.
Reoutput image
It is possible to display a list of both processed and unprocessed expo-
sures. You can select individual exposures from this list and reoutput
them – if necessary, with changed settings.
Set date/time
You can set the date and time on the internal clock in the image reader.
Set click sound
You can turn on or off the signal heard when you touch a function on
the touch screen and when information appears.
Adjust touch point
You can adjust the touch points on the touch screen.
Display CRT test pattern
You can call up a test pattern to adjust the screen contrast.
Calling up/closing utilities
Calling up utilities
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After a few seconds, the following window appears:

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Select a function.
Closing utilities
Touch this button in the "User Utility" window:
After a few seconds, the main window appears.

e
Image administration on the plate reader

ve
The plate reader has an internal hard disk which can store up to about
e
100 images. If there is no more space available for storing new images,
an automatic erasure mechanism starts. The oldest images are erased
al
first.
e
Images which are saved on the internal hard disk have already been
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processed and then sent to the workstation or are waiting to be proc-

essed. In the normal routine mode, unprocessed images are only dis-
played briefly, like the protected images on the button at the bottom

4 e 5 5 n e e e
right edge of the screen.
X: Display utilities:
Y: Display unprocessed/protected images.
On the plate reader all the exposures read out are numbered internally.
Numbering begins at 001 again each working day. If a saved image is
reprocessed, it will be assigned a new exposure number on the plate
reader.
X: Consecutive internal number.

Deleting waiting images
You can delete groups of exposures which are stored on the internal hard
disk of the plate reader and are still waiting to be processed. During
problem-free, normal operation, there is no need to perform this task.
Erased images cannot be restored. Before erasing them, ensure that
the images really are no longer required.
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ele e all a e a a e
e a
ele e e a e a a
e e a all
e
e e ae e a e
ele e e a e a a
e e a ave ee
e e ele e la e
ea e
ele e e a e a a
e e a ave
ee e e ele
Select the required function and then touch "DELETE".

A prompt appears:
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Confirm the message by touching "DELETE".

4 e 5 5 n e e e
The selected exposures are deleted. A message appears saying that

the procedure has been completed.
Reoutputting a processed image

You can send images to the workstation again if they have already been
transferred and are still saved on the internal hard disk of the plate read-
er.
The resent image is stored in the same patient folder on the workstation
as the image first sent and is also stored in addition to the old image;
there is no overwriting. All the images which are reoutput by the plate
reader are given the image number "0" on the workstation. When im-
ages are reoutput, you can set the following parameters:
Protect exposures
This function protects exposures from automatic deletion, which means
they are not deleted and remain on the hard disk until deleted manually.
You can display the protected images.
X: Display utilities
Y: Display unprocessed/processed images.
Change S/L values
These functions are used to adjust the brightness and contrast in the
exposure.
Selecting exposures
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A list (several pages long) appears with images which have already
been processed and sent to the workstation.
e
e nn
Pa e
E a a ae
e al e
a e e PCR Eleva
P e e a e
Pa e e
la e a e
Select the required image by touching the relevant line.

The images can only be transferred individually.
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4 e 5 5 n e e e
The line selected is highlighted. Touch the line again to deselect

it.
If you change the settings in this window, the image will be

assigned a new, internal exposure number (e.g. A010); the
former exposure number is deleted from the list of processed
exposures.
Select a function (see the following sections).
The list with the processed images appears. If you wish to

reoutput more images, select the next image here and repeat
the procedure described above.
The changed image has been given a new exposure number and initially
e
only appears on the list of unprocessed images. It is transferred to the

ve
workstation, where it is saved under image number 0. The image already

transferred to the workstation is not overwritten.
e
al
Changing the S and L values

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You can change the brightness and contrast using the S and L values.
P l
You can select the corresponding images from the list of processed im-
ages beforehand.

e 5 5 n e e e 4
Set the required gray levels by touching the "S" and/or "L" but-
tons.
Change the set values using the arrow buttons.

Then touch this button to return to the "User Utility" window.
e
The selection window appears.
Protecting images
You can protect images from automatic deletion from the hard disk of
the plate reader. You can select the corresponding images from the list
of processed images beforehand.
Touch this button on the function window:
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4 e 5 5 n e e e
Touch "ON" to protect the image, and then touch "OK".

The function window appears.
In the function window, touch "OK" to return to the "User Util-
ity" window.
The selection window appears.
Adjusting the touch points

You can set the touch points on the touch screen of the plate reader.
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Touch the cross hairs (+) in the upper corner.

A new set of cross hairs appears in the lower corner.
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Touch the cross hairs (+) in the lower corner.

Carry on as instructed in the following window and touch any
point on the screen.
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4 e 5 5 n e e e
When you touch a point on the screen, a square appears on-screen

exactly where you touched it or in the vicinity.
If the point you touched and the square match, touch the "OK"
button. If this is not the case, repeat the setting procedure.
Setting date/time
You can set the date and the time on the internal clock.
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The current settings are displayed in the black input field.

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Enter the new figures and finish the entry by touching

"ENT" (Enter). If you wish to correct an input error, touch
"BS“ (backspace).

e 5 5 n e e e 4
Example:
Date: 01 April 2006
Time: 10:15 a.m.
Input: 0604011015
If the figures have been entered properly "Completed" appears
below the input field.
e
Touch "QUIT" to return to the "User Utility" window.

The clock is set to the new time.
Setting the click sound

You can switch on or off the signal that is heard when you touch the
touch screen or for warnings.
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4 e 5 5 n e e e
Select "ON" or "OFF" and touch "QUIT" to return to the "User

Utility" window.
Displaying CRT test pattern

You can call up a test image to set the contrast and brightness of the
screen display.
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If necessary, correct the screen settings using the contrast control

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and touch the "QUIT" button to return to the "User Utility"

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window.

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The contrast control should be set so that all the gray bars
are visible.
Display protected/unprocessed images

You can display unprocessed images as well as ones which are protected
against automatic erasure. The number of protected/unprocessed im-
ages on the plate reader is displayed as follows in the main window:
e
X: Display of protected/unprocessed images.

Touch this button:
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4 e 5 5 n e e e
A list of saved images appears.
e nn
e e a e
P e e a e
Pa e e
la e a e
In normal mode, unprocessed images only appear here briefly, until they
have been transferred to the workstation. Then they are erased from this
list. If image throughput is high or if there are technical problems, a
queue may occur in processing.
41 e e
This chapter provides information on error messages which contain a
reference to the Instructions for Use.
Laser malfunction
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Cause of error message

The laser beam unit is defective.
Touch this button to stop the alarm signal:
Notify Philips Customer Service.

If you touch the "TEMPORARY USE" button, you can never-
theless read out the exposure. However, the image quality then
corresponds to an X-ray exposure made with a radiation dose of
only 20%.
Over-exposed image plate

e
Cause of error message

An over-exposed image plate has been found in the cassette in cassette
slot 1 (CS1).
Touch this button to stop the alarm signal:
Touch this button to eject the cassette:

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ve
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Do not use the cassette with the over-exposed image plate within
the next 16 hours.
al
e
After approx. 16 hours, perform a primary erasure (chapter

6.4.9).
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The image plate can can be reused for a new X-ray exposure.

5 n e e
5 n e e
51 e e e
For the exposure, use a cassette with an erased image plate and use the
same settings on the X-ray generator as with the conventional screen-
film technique.
52 nn e e e
Place the plate cassettes into the cassette tray of the X-ray unit or for
free exposures as follows:
Have the front of the cassette facing towards the source of radi-
ation.
For exposure, align the cassette so that the green mark on the
front is at the top or to the right. It does not matter whether the
patient is lying in the PA or AP position.
Green mark on top
Green mark on right
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18 cm x 24 cm format
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Cassettes in 18 cm x 24 cm format have two green marks on the side to

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be exposed. Align these cassettes as follows: for

portrait: two green marks are on top
landscape: single green line is on top

e e n e e
Green marks
Green marks
e e n e e
1 n n e e n e e
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Physical wear and tear

Ensure that the cassette is not damaged when inserting and removing
it. Do not drop the cassette on the floor, as this could scratch it.
Wear gloves when removing the image plate from the cassette to prevent
your fingernails from scratching it.
Image plates must not be bent, banged or otherwise subjected to rough
treatment. Do not use damaged image plates.
Dust and dirt
Always keep the surface of the image plates free from dust and dirt, to
prevent faults or inferior image quality.
Do not place plate cassettes on the floor with the opening facing down.
Otherwise, dirt can get into the cracks of the plate cassette, which soils
the plate reader during readout.
Storing image plates
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Observe the following ambient conditions for storage:

In the sealed packaging: <35 °C
e
In the opened packaging: <33 °C, <80% rel. humidity.

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7 e n
Store image plates vertically or horizontally on a flat surface and do not

bend or subject them to other forms of physical wear and tear.
Transport conditions
Do not drop boxes of image plates. Do not throw the boxes. Ensure that
the boxes do not come into contact with moisture and are not over-
heated (above 45 °C).
Cleaning image plates: see chapter 14.3.3.
7 e n
71 n
The following outlines what you must pay attention to when exposing
image plates and when selecting plate reader modes (readout modes).
Radiography techniques with the following are described here
UNIQUE (UNified Image QUality Enhancement)
UM (Unsharp Masking) and DRR (Dynamic Range Reconstruc-
tion). You will find more information on UM and DRR in the
appendix.
Exposure parameters and image quality

In general, you expose image plates using the same exposure parameters
as conventional screen-film systems. In contrast to conventional sys-
tems, however, when the exposure parameters are changed the image
plate reacts differently, as the table below shows:
e e e e e een e
Ra a e e
v le a
e
ve
e l
e a
e
ev la e a Re e a
a e ve all
al
a
e
a a
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a e ve all
a

e e n e 8
In the case of image plates, a change in the radiation dose does not vary
the density, but the graininess. Nevertheless, it is still possible, as before,
to influence image quality by adjusting the exposure parameters.
With automatic exposure control, uniform density is achieved with
conventional screen-film systems, and almost uniform graininess in the
case of image plates.
Using Bucky equipment and stationary grids
With Bucky exposures, ensure that the grid is not aligned parallel to the
cassette hinges. Do not use coarse grids in conjunction with the high-
resolution working mode, otherwise artifacts occur more easily in the
image display.
72 e n e n e
Only one exposure per cassette is possible.
Rotating the image will not rotate the measuring field.
8 e e n e
e
While with conventional X-ray one can tell an incorrect exposure

straight away from the density of the film, with digital systems there is
no discernible direct connection between density and image receptor
dose. For this reason, PCR Eleva has a dose indicator, which is propor-
tional to the image receptor dose.
The dose indicator provides a reference to the relative image receptor
dose of the exposure by means of the EI_s value (exposure index, signal-
based).
Using this value, you can compare similar exposures of the same organ
with the same radiation quality in terms of their dose and analyze de-
viations from the optimum dose.
The EI_s value appears beneath the image along with the exposure and
examination data in the “Examination” and “Review” sections.
The EI_s value also appears

beside the image when printing on a print medium,
beside the image in the field “DICOM_RELATIVE_X-RAY_EX-
e
POSURE (0018, 1405)” when saving to an archive, provided that

ve
the archive shows this attribute.

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What does the EI_s mean?

al
The EI_s is proportional to the dose. This means that for two similar
e
exposures of the same organ with the same radiation quality, you get
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the ratio between the two dose values directly from the two EI_s values.

8 e e n e
Example:
Patient 1: Pelvis A/P, 77 kV, AEC, EI_s = 320
Patient 2: Pelvis AP, 77 kV, AEC, EI_s = 480
480/320 = 1.5; the exposure of Patient 2 had 1.5 times the dose of
that of Patient 1.
The EI_s gives an indication of the image receptor dose right in front
of the film cassette (air kerma in µGy), multiplied by 100.
This correlation only applies directly with radiation quality of the cali-
bration conditions (70 kV, 21 mm Al filter) and in the absence of other
influences that cause deviations in the EI_s. Here, for instance, an EI_s
of 350 corresponds to a dose (air kerma) of 3.5 µGy.
However, the more the radiation quality deviates from this, the greater
the EI_s deviates from this correlation. For 50 kV or 120 kV, the EI_s
shows values that are as much as 30% too low.
An image plate system like the PCR, however, does not detect the ra-
diation quality during exposure.
Under clinical working conditions on the patient this means that one
cannot precisely infer the detector dose from the absolute values of the
EI_s.
How is the EI_s calculated in PCR Eleva?
The system is based on the exposure of plate cassettes and has neither
exposure data from X-ray measurement devices nor exact generator or
filter data. Thus a dose indicator can only be calculated from the image
data.
The following text applies only to UNIQUE image processing:
The EI_s is calculated for the part of the image of interest for diagnosis,
namely for those pixels that UNIQUE image preprocessing detected as
regions-of-interest (ROI) for image post-processing.
In the “Ranger”, you can display the ROI determined by the UNIQUE
ranger in green on the image.
You determine the “Ranger” on the basis of all pixels in the measuring
field which you have described by a green rectangle. You choose the
measuring field on the right-hand side.
The pixel value, below which as many percent of all pixels lie as specified
in the parameter “Keycenter” (range 0 … 100), is taken as the ROI.
This applies to raw data without image processing.
Example:
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e e n e 8
Turn color coding on/off.

e
This pixel value should be within the part of the anatomy that is typically
placed in front of the chamber of an AEC, e.g. in the case of skeletal
radiography in the pixels of medium density within the bones or, in the
case of thorax exposures in the auto mode, within the lungs. This is
generally the case with the processing protocols supplied by Philips with
no need for any further intervention.
Set EI_s by confirming or rejecting
Calculation of the EI_s depends on electronic collimation and individ-
ual parameters in the “Ranger” of UNIQUE image processing. If you
change data relating to this, the EI_s may also change.
When confirming or rejecting, the EI_s value is saved with this image
and cannot be changed again. This documents which EI_s was displayed
when confirming or rejecting.
For your information, however, even after confirmation or rejection of
an image, when changing the parameters later, an adjusted EI_s value
is always shown in brackets after the stored EI_s value in the exposure
and examination data. This additional information is not stored with
the image when re-printed or re-exported, however.
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7 e e n e 7
7.1 About this Chapter ............................................................ 7-3

7.2 What the operator’s console can do ................................... 7-3
7.3 How to use the operator’s console ..................................... 7-5
7.3.1 The Touch Screen .............................................. 7-5
7.3.2 Selecting the Section .......................................... 7-5
7.3.3 Scrolling Through Lists ...................................... 7-5
7.3.4 Operating the Slide Controls .............................. 7-6
7.3.5 Operating Drop-Down Lists .............................. 7-6
7.3.6 Operating the Selection Fields ............................ 7-7
7.3.7 Operating Switches ............................................ 7-7
7.3.8 Setting the on-screen keyboard ........................... 7-8
7.4 In an emergency ................................................................ 7-9
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This chapter addresses
the features of the operator’s console,
how to use the operator’s console
what sections are on the operator’s console and
how the sections on the operator’s console are structured.
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72 e e n e n
You can control examination data from the scheduling stage through to
the end of examination, i.e. enter patient data and examination data,
read in, process, print and save images.
The operator’s console has 6 sections:
Patient list
Examination
Review
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Print
iSite (option)
System.
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72 e e n e n
You can select the different sections using the main selector buttons
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(1
1-6). When a section is selected the button for it turns yellow.
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The different sections mean the following:

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74 e ea le PCR Eleva Ver. 1.1

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en ee a e e a e a a ele al
v e R
a a e e a a e a e
e ee a a e R a a e a ee
ele e e Pa e l e ele e
a e e e e ee e
n ee a
n l ee a a
a la e a e e
e ve ea e la e ea e
e e a e e e a
e e ee ll
a va e a e e l e a e
al e a e a av a
a ve
a ve v e e a e a e
n ll e l ee a e
e a e a l a ee e e a e e
a a e el
e PCR Eleva e a e aP l e e
e ve a la a e a e all a
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e ava la le e e ea le
a ave a e a e e e ve
a PCR Eleva
e ee a e ea l a a a l
e e a a e l
e a a a a
7 e e e n e
7 1 e een
The system is designed for operation via a touch screen. You “press” a
button by touching the screen at that point.
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When you click on one of the 6 buttons, the corresponding section

appears.
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Below a list you often find the following two scroll buttons:

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By clicking on these buttons you can scroll

up (1) or
down (2) through lists.
1 2
7 4 e n e e n
You will often find slide controls for setting numerical values, for ex-
ample in the image processing tools. You can change the values by
clicking on the + and - buttons:
to increase the value,
to reduce the value.
You open the slide control by clicking on the white area containing the
numerical value. Then you can change the value by moving the control
(1).
To close the slide control: click on the white area again.
7 5 e n n
Some lists drop down for selection. The example shows the list of body
regions under patient and examination scheduling.
Click on the button with the small black arrow (1).
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The hidden selection list (2) appears.
Thoracic Spine You can make a selection from the drop-down list by clicking on
it. The background of the selected field turns blue.
7 e n e ee n e
You can often select a certain value from a preset list of values. Shown
by way of example is the selection field “Sex” under patient and exami-
nation scheduling. You can select the value as follows:
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Click on the arrow.

The selection drops down and shows the possible values.
Click on the value you want.

The selected value is then displayed.
7 7 e n e
You can change some functions using a switch. The example shows the
“Print” switch.
You can tell the status of the switch by the LED on the symbol:
LED is green: function is activated.
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LED is gray: function is deactivated.

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Turning a function on/off

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Click on the switch.

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For the system manager only: when entering text in text boxes you have
the option of calling up a virtual semi-transparent keyboard on screen,
so that you can also enter text directly on the screen.
You can either turn off this function, or set it so that
the keyboard always appears when the cursor is in a text box,
you can call up the keyboard via a symbol at the end of the text box
once the cursor is in a text box.
System Click on System; the following appears
Settings Click on Settings; the following appears
The following appears under “Virtual keyboard”

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Select the display you want.

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n n e e en 74
Depending on your selection, the on-screen keyboard then ap-

pears (example)
You can
hide the keyboard
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display it
move it to the top,
move it to the bottom or
move it to the center.
74 n n e e en
The system has an operating mode for emergencies, if you neither have
a valid user account nor know the password. On the one hand, this
mode permits access to the system and, on the other, protects patient
data from unauthorized access.
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They are as follows:

Only the "Emergency" worklist is available; it contains only patient
data with emergency status.
All patients added here are given emergency status.

You cannot access other patients (e.g. from RIS).
RIS query is not possible.
Any normally registered user can delete the patient entries from the
"Emergency" worklist and cancel emergency status:
Display patient data.
Switch off emergency status.

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8.1 The Patient list .................................................................. 8-3

8.2 Entering patient and examination data .............................. 8-5
8.2.1 Entering patient data .......................................... 8-5
8.2.2 Adding a Study .................................................. 8-7
8.2.3 Adding Examination Types ................................ 8-7
8.2.4 Deleting a study ................................................. 8-8
8.2.5 Deleting examination types ................................ 8-8
8.2.6 Customizing the Patient List .............................. 8-9
8.2.7 Finding a Patient in the Patient List ................ 8-10
8.2.8 Changing Patient and Examination Data ......... 8-10
8.2.9 Deleting a patient's data from the Patient List
.......................................................................... 8-11
8.3 Getting patient data from RIS ......................................... 8-13
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8.3.1 Updating the patient list .................................. 8-13

8.3.2 Getting individual examinations from RIS (only via
DICOM RIS) .................................................. 8-13
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The first section is the Patient list. This displays the patient data, studies
and examinations stored in the system. You can filter and sort the list
by examination status or other patient attributes.
Only here is it possible to select a new patient / a new study, which you
can then use in the Examination, Review and Print sections.
You can add, change and delete patient data via the buttons 5 and 6.
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Pa e l
le le l e a e l al e a e e ee Pa e ae
a e
Pa e a
Pa e e le
Pa e e
Pa e le e
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a e l e
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84 Pa e a a PCR Eleva Ver. 1.1

n e n en n e n n 82
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a e e aa ae
le e a e l e le e al l all a e ae
ele e e e a le
a e l aa R
ave a e a e C C
ll a e e a a l ll
e a la ee ell e a e
E a a l e a aa e ele e a e
e ee e a a l a a e a e ele e
a e
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ele a a e e a a all eE a a e
82 n e n en n e n n
821 n e n en
Assuming you are in the Patient list section:
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Add a patient.
Patient and Examination Scheduling appears.
The patient ID (A) is automatically assigned, and can be
overwritten.
A
Press Enter.
Now the field “Last name” is active.
Enter the patient’s last name.
If you work with a touch screen, the on-screen keyboard appears
on the screen – if so configured.
Press Enter.
This will automatically take you to the next field.
Click on the relevant field.
The field is active.
Enter data.
If required, enter further patient and examination data
Continue with the next chapter
or
OK Confirm patient entry.
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822 n
Assuming you are in the Patient list section:
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When you add a new patient a new study is created automatically. If

you want to create further studies for a patient, proceed as follows:
Select patient.
Select “Edit patient”.
Patient and Examination Scheduling appears.
Add a study.
In Patient and Examination Scheduling a new study appears
in the column “Planned examinations”. You can now enter
examination types here – as described in the next chapter.
Unless such function is disabled, you can add any examination
types to any studies.
82 n n n e
Always add a new study if another type of examination is to have its
own accession # (access number).
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Under "System/Settings" the administrator can make the automatic

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creation of a new study mandatory for each new type of examination.

Assuming you are in Patient and Examination Scheduling; new patient
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82 n e n en n e n n
A
C
UPPER EXTREMITY Select body region (A).

A list of the possible types of examination appears (B).
Hand Select type of examination.
The type of examination is added to the list of planned ex-
aminations (C).
Continue with the first step if you want to assign more than one
type of examination to the patient
or
OK Confirm examination type entry.
The type of examination is scheduled for the patient.
The Patient list appears.
824 ee n
You can only delete a study if none of the assigned examinations have
been started.
Select study.
Delete study.
In Patient and Examination Scheduling the study is deleted
from the column “Planned examinations”.
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You are in Patient and Examination Scheduling.

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New patient data has already been entered; examination types have been
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Select type of examination.

The background of the examination type turns blue.
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Delete type of examination.

The examination type is deleted from the list of planned ex-
aminations.
82 n e en
You have the option of customizing the Patient list to your personal
preferences.
Changing the sequence of the columns
Click on the top of the column and hold.
Drag the column in the direction you want;
the column changes places with the adjacent one.
Changing sorting
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You can change sorting in all columns (numerical, alphabetical or by

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patient status).
Click on the top of the column once.
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A small arrow beside the text in the top of the column indicates
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82 n e n en n e n n
Changing column width

In the top of the column, click on the dividing line between two
columns, and hold.
Drag the line in the direction you want.
Changing column contents

The columns with three dots on the right of the top of the column can
be changed.
Click on the dots
a submenu appears.
Choose new column contents.
827 n n en n e en
If the patient list is very long, you can search for a specific patient:
Open the Find dialog box.
Enter patient’s name or first letters.

A list of patients matching the search criteria appears:
Select patient name for examination.

The background of the patient’s name turns blue.
828 n n en n n n
Assuming you are in the Patient List section:
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n e n en n e n n 82
Select patient name (A).

Select “Change data”.
Patient and Examination Scheduling appears:
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Click on the field you want to edit.

Change patient and examination data.
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Add new examination types (see chapter 8.2.3).

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Protected patient data may only be deleted by the system manager.

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You are in the Patient list section:
PCR Eleva Ver. 1.1 Pa e a a 8 11

82 n e n en n e n n
Select patient name (A).

Delete all data in this line.
Yes Confirm deletion.
OK Confirm message.
Examination Select examination.
Complete Close all the patient’s assigned examination types and views.
In the Patient List, the patient is given the symbol to
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indicate completion. If examinations are still outstanding, an

hourglass appears.
Delete the patient from the patient list.
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8 12 Pa e a a PCR Eleva Ver. 1.1

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8 1 n e en
Assuming you are in the Patient list:
Start RIS query.

The button stays blue for as long as the query is in progress.
During that time, new patients’ data is added to the list.
Existing patient data and examinations are updated, unless
they have already begun.
Patient data and examinations that are no longer required are
deleted.
After the query the list is resorted.
After the query the patients with planned examinations not
included in the response from RIS are deleted and disappear
from the list.
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To stop query, if necessary: click on the button again, while it is

blue.
8 2 e n n e n n n
You can select individual scheduled examinations, offered by the RIS,

and transfer them to the PCR system.
Start search function.

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On the right you can

enter one or more criteria to precisely narrow down your
search,
enter wild card criteria using “*” to narrow down your search,
choose from a list of modalities.
Start RIS query.
The button is blue for as long as the query is in progress.
At the same time, all examinations matching your criteria ap-
pear.
To stop query, if necessary: click on the button again, as long as
it is blue.
Select the examination(s) you want.
Add examination(s) to the patient list.
Close End RIS query.
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8 14 Pa e a a PCR Eleva Ver. 1.1

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9 e n ee n n 9
9.1 The Examination section ................................................... 9-3

9.2 Overview ........................................................................... 9-4
9.3 Examination procedure – Overview .................................. 9-5
9.4 Examination steps in detail ................................................ 9-8
9.4.1 Assigning cassettes .............................................. 9-8
9.4.2 Reading out image plates on the plate reader
............................................................................ 9-9
9.4.3 Checking image quality on the operator’s console
............................................................................ 9-9
9.4.4 Exporting exposures, printing and completing the
examination ..................................................... 9-11
9.4.5 Making more than one exposure with the same view
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.......................................................................... 9-12
9.5 Workflow control ............................................................ 9-14
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The Examination section contains all displays and tools for an exami-
nation with image plates.
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92 e e
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la e ele e a e ele e v e
E ea e a a a
e ee ele e e e
C a ea a e aa
la a e ele e e e a a ve
C le e all v e a e e a a e e C le e
a all ee a ea e le e al a
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94 Pe ee a a PCR Eleva Ver. 1.1

n n e e– e e 9
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la a e a a l e a ee a a a
e a e a e ea a a e la e e le e
ee a a e
e l e a ea a e e ele e a a e
a e
a ve a a e a ea e a e e
e a e a e ve a ea e ee a a e l
ll a all ae e e e a e ae
a a a e la e a e e e ea ve
ve e a e ee
E a a l a e a a l e la e
a e ele e a e
l a a e e a a e a ll
e l a e e a e
9 n n e e– e e
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You will find the individual steps involved in examinations with cas-
settes in chapter 9.4.1 to chapter 9.4.4.
You are in the Patient list and have selected a patient.
Examination Select Examination section (quick select).
The Examination section appears.
The first type of examination (A) is open, the first view (B) is
selected and the background is blue.
A
B
The PCR system supports many possible examination proce-

dures. Choose the most efficient one for your purposes.
Once you have taken all views and performed all types of exami-
nation for the selected patient, you can complete the examination.
Complete Complete the examination
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Exposures are saved, printed and archived – if so configured.

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A message is sent to RIS.

You return to the Patient list.
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indicate completion. If examinations are still outstanding, an

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For the next patient, continue with the first step.

9 n n e e– e e
The following diagram shows an example of two individual steps (A,

B). It begins with the quick selection of the Examination section as in
step 1. Follow the black arrow through the individual steps. The dashed
arrow shows the change on the operator’s console.
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A B
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The cassettes are generally assigned to the patient using a barcode reader.
With one-console systems and the plate readers, it is possible to work
without a barcode reader.
Assignment with barcode reader
The system manager can configure this mode. You have selected a pa-
tient and are in the Examination section.
The first view of the examination type is selected and the back-
ground is blue:
Assign image plate with the barcode reader.

The barcode symbol appears.
The next view is automatically selected.
To select a different view as the next standard view, click on the

view you want.
The background of the new view turns blue.
Make exposures on image plates, read out image plates on the
plate reader, and only then assign the next image plate with the
barcode reader
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Repeat the first step until image plates have been assigned to all
the scheduled patient exposures.
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If the barcode reader is not working, see the appendix for a solution
(chapter 16.2).
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Assignment without barcode reader

You have selected a patient and are in the Examination section.

n n e n e 94
The first view of the examination type is selected and the back-
ground is blue:
Slide the cassette with the exposed plate into the plate reader.
The read-out image is assigned to the patient and appears on
the screen.
942 e n e e n e e e e
For information on this, see chapter 6.1.1 or chapter 6.2.3.
Once an exposure has been read out, it appears on the screen in the
“Examination” section.
When you have read out all the patient’s exposures, continue with
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the next chapter.
Deactivate automatic confirmation

Your system may be set to automatically confirm exposures. In this case,
every exposure is automatically archived or saved after readout. If you
would like to retain the possibility of editing images before saving or
printing them, proceed as follows:
During readout, click on the image.
Automatic confirmation is switched off.
“Automatic confirmation of this exposure is not active” ap-
pears in the field for system messages.
After editing, you can confirm the image with . The image is au-
tomatically printed and saved as normal.
94 e n e n e e n e
The patient has been X-rayed. You have inserted the cassettes to be read
out into the plate reader. This chapter tells you how you can check the
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image quality of the exposures and what ways there are of further im-
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proving image quality.

The exposure is scanned from the image plate and appears on the
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94 n n e n e
As soon as the exposure is read out, it appears as a thumbnail (B) instead

of the barcode and has an orange frame. This indicates that it is precisely
this image that is maximized.
Check whether the image quality matches your expectations, e.g.:

Right view? Rotation or flipping necessary?
Do parts of the exposure have to be cropped?
Contrast and brightness
Should the exposure be annotated?
To improve image quality, the following image processing tools
are at your disposal. For further information on the image proc-
essing tools, see chapter .
If the image quality of the exposure is suitable for diagnosis, you
can confirm the image quality.
Confirm image quality
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If the image quality is not suitable for diagnosis, you can edit the
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exposure with the image processing tools.

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If, despite the processing options, the exposure is not suitable for
diagnosis and cannot be improved, you can reject the exposure.
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Reject image quality of the exposure; you can give a reason.

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You can then repeat the exposure.

Repeat the first three steps for all other patient exposures.

n n e n e 94
944 n e e n n n e n e
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Customer Service can program the functions “Save” and “AutoPrint”.
The images are exported to a connected PACS system to be saved.
Check whether exposures are designated for saving.
Exposure is designated for saving: symbol (A) appears
A
or
Exposure is not designated for saving: no symbol.
If Save is not activated:

Turn on Save function.
LED lights up green.
The Save symbol appears:
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Check whether exposures are designated for AutoPrint.

Exposure is designated for AutoPrint: symbol (A) appears
or
Exposure is not designated for AutoPrint: no symbol.
If AutoPrint is not activated:

Turn on AutoPrint function.
LED lights up green.
The AutoPrint symbol appears
Now you have 2 options:

Prepare exposure for printing and print (see chapter 11)
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Complete Finish the examination.

Exposures are saved once Save is activated and printed once
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AutoPrint is activated.
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The Patient list appears.

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indicate completion.
For the next patient, continue with the first step in chapter 9.3.
PCR Eleva Ver. 1.1 Pe ee a a 9 11

94 n n e n e
945 n e n ne e e e e e
The procedure is the same as for two or more separate views, the only
difference being that you must first of all open the view. You can reassign
a view that has already been done or assigned; this then gives you two
views.
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Buttons for routine workflow
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Re e a e a e e l e al
ae
ave a va e ea va e a a ave
e a a ave a ve e E ll ee
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a e l a ea e e ee e
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a a ea va e e e a
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9 14 Pe ee a a PCR Eleva Ver. 1.1

n 95
n e nn
P a va e ea va e a a
e a a a ve e E ll
ee a e l a ea e e ee e
e l a e ll ea
e a e e ae a a
al e a ee e ea
a e a l a a e
ee e
e a e a la e a all a l a e
ve e
Re e a e al
ee e a le a a e e e
e e a
C a e al
ee e a le a
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PCR Eleva Ver. 1.1 Pe ee a a 9 15

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1 e e e e n 1
10.1 The Review section ......................................................... 10-3

10.2 Exporting Images to an External DICOM Destination
......................................................................................... 10-5
10.3 Image processing tool functions ...................................... 10-5
10.4 Individual image processing tools .................................... 10-6
10.4.1 Calling up image processing tools ..................... 10-6
10.4.2 Setting Contrast and Brightness ....................... 10-7
10.4.3 Setting image processing protocols ................... 10-8
10.4.4 Setting image processing parameters ................. 10-9
10.4.5 Rotating and Flipping an Image ..................... 10-11
10.4.6 Annotating an image ...................................... 10-11
10.4.7 Shutter Function ............................................ 10-12
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10.4.8 Scaling ........................................................... 10-15

10.4.9 Moving images between examinations ............ 10-16
10.4.10 Stitching ........................................................ 10-17
10.4.11 Measurements ................................................ 10-23
10.4.12 Resetting image .............................................. 10-24
10.4.13 Customizing image processing tools ............... 10-24
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1 2 a le C e PCR Eleva Ver. 1.1

1 e e e e n
1 1 e e e e n
Here you have easy direct access to all the images in the image memory
for the selected patient. The Review section offers advanced image
processing tools for checking image quality and for exporting images to
an archive.
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E ea e a a a
e ele e v e e e a a ea ve
C le e all v e a e e a a
ll e a e e
a e e a all e ele e a e e e
l a e e ee a e a e e l
a e
e
a e ele e a e
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You use the image processing tools when you have already made an
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exposure and want to edit it.

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1 4 Rev e a e e PCR Eleva Ver. 1.1

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1 2 n e n e n
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n e nn
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e a E e a
ll e C e C al
e e e a e ee e
ll
ele
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ave ele e a e C e ev e e v e a ea e
e a al ave e a a e
Cl e e
1 e e n n n
You can do the following with the image processing tools:
Change contrast and brightness,
Rotate and flip exposures,
Annotate exposures,
Crop parts of the exposure,
Set image processing protocols,
Set image processing parameters,
Move images,
Enlarge images and
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Stitch images.
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The functioning of each tool is explained in the following chapters:

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Calling up image processing tools, chapter 10.4.1

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Setting contrast and brightness, chapter 10.4.2

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PCR Eleva Ver. 1.1 Rev e a e e 1 5

1 4 n e e n
Setting image processing protocols, chapter 10.4.3
Setting image processing parameters, chapter 10.4.4
Rotating and flipping an image, chapter 10.4.5
Annotating an image, chapter 10.4.6
Shutter function, chapter 10.4.7
Scaling, chapter 10.4.8
Moving an image, chapter 10.4.9
Stitching (option), chapter 10.4.10,
Measurements, chapter 10.4.11
Resetting an image chapter 10.4.12.
If you cannot find an image processing tool in the image processing bar,
you can call it up via the function button “Call up and customize image
processing tools”. In addition, you can customize the image processing
bar to your requirements via this function button. For further infor-
mation on this, see chapter 10.4.1 et seq.
1 4 n e e n
1 41 n e e n
Depending on the configuration, this function may only be available to
the administrator.
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1 Rev e a e e PCR Eleva Ver. 1.1

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Call up all image processing tools.

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Select tool to use.

Press "Customize" to customize your toolbar.
1 42 e n n n ne
Here you can find the following tools:
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E l a e a e
e la e a e
C a la e a e
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l le e e ve
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a e
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l le e e ve
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a
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ea e a
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l le e e ve

1 4 n e e n
n e nn
Re e a
l le e e ve
le
ve a e l la e a e e
Re e a e al ae
Ca el a e a e l
You can change contrast and brightness in the image itself on the mon-
itor using your finger or using the mouse:
Using the mouse:
Click on the image and keep mouse button pressed.

Change contrast: Move mouse horizontally.
Change brightness: Move mouse vertically.
Confirm or reset the changes using the function buttons.
Using your finger:
Touch screen.
Change contrast: Move finger horizontally.
Change brightness: Move finger vertically.
1 4 e n e e n
Image processing protocols are parameter sets for processing raw image
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data into images with diagnostic capability. Every protocol is optimized

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for a specific part of the body. To make them easier to find, the protocols
are sorted by body region.
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On the PCR system, you can choose from the processing techniques
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“UNIQUE”, “UM” (Unsharp Masking) and “DRR” (Dynamic Range

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Reconstruction). Philips recommends “UNIQUE”.

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It is defined during installation or user-specific configuration of the

PCR system with which technique the views are processed. In the case

n e e n 1 4
of PCR images you can subsequently change the processing technique

or in the case of special exposures, assign user-defined image processing
protocols using the tools.
3
1
2
Using the arrow buttons (3) you can select both the processing techni-
ques (1) and the body regions (2).
Once you have selected a processing technique and a body region, Table
(4) shows you the available image processing protocols. The background
of the selected image processing protocol turns blue.
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la e ele e e aa ee
la e ele e e
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ea e e e ele e e aa ee
a e e
a ele e ll e l
a ele e ll e
1 44 e n e e n e e
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1 4 n e e n
Using the image processing parameters, you can generate image proc-
essing protocols or customize them to your needs.
1 4
2
5
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la ele e a e e aa ee ee a le E
la Ra e a e e aa ee
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ave a e a e e aa ee
e ll a ea
E e e a e a ele e e
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C
e a va e a e e aa ee

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n e e n 1 4
1 45 n n n n e
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E l a e a e
R a a le
R ae a e l e
R ae a e e l e
R ae a e
l a e e ve al a a la ea e
l e
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Re e a e al ae
Ca el a e a e l
1 4 nn n n e
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1 4 n e e n
n e nn
P
P R
E e ee E e e
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Cl e e e e
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a ve e e a ee e a e e
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ea a a e e e e
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Re ve le e
ele e all e
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a l
C e ev e l
1 47 e n n
You can change the following:

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Automatic polygon shutter

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a a e e
ea e a ea ea a all e e e a
a all e e la a ea a e e lea ae
ave e a all
ea a e a a l a ee
l ea e la ll a e a e
Before the automatic shutter is turned on
After the automatic shutter is turned on

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Turn off shutter function

ll e ae ee ee ee e e
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1 4 n e e n
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Automatic rectangular shutter

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a e l e a e e a ve
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l e la e a
all e e a a e
Ranging (region of interest)

a e e a e e e
e a e eleva a e all
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e e ele e e a e e
ee e e a e l a Ra
all la e a a e ae a
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a
ve
a ve
a e e ele e e a e a
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a e e ele e a e a a a
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a l e v le e all la e
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a e e e a le e ee e al
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e a a e e

n e e n 1 4
1 48 n
This function does not affect the exported or printed image.
Here you will find the following tools:
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la ave a e
e e la e a e ela e e a e
la e
ale a e e e
e ll a e a ea ale ee e
la e e a e
a e e a ll a e a e ve e
e e e ee
la a e
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la a e el e a e el e
ee el
a a e
Re e a e
Re ee
Cl e ee e a e e a e ll e
la e el e
Re e a e al ae
Ca el a e a l
You can move the image using the mouse or using your finger on the
screen direct.
Using your finger:
Touch screen and move image.

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Using the mouse:

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Click on the image with the left mouse button, keeping it pressed.
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Move image.
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1 4 n e e n
1 49 n e e een e n n
This function is only active in the Examination section.
The system supports moving an image from one view to another if you
have incorrectly assigned the barcode for the exposure on the plate cas-
sette, and did not realise your mistake until later.
If you realise your mistake before reading out the plate cassette, you can
reassign it using the barcode reader; if you do so, it is not necessary to
move the images afterwards.
In principle, this tool works in the same way as cut, copy and paste in
other software programs.
The following applies :
The destination may be in the same or another examination or even
that of a different patient.
If the image to be moved has been rejected or has not yet been con-
firmed, it will be deleted in the source and stored in the destination
to which it is moved.
If the image has been confirmed, the original image will be copied
and the copy stored in the destination. The original image will be
marked to indicate that the image has been moved.
For safety reasons, when moved, all user changes will be deleted from
the image, and the destination view settings applied to the image,
e.g. rotated, flipped and collimated.
Moving an image from one examination to another on the same

patient
Examination Select Examination section.
Select the image to be moved; it will be given an orange frame.
Select the destination, which may be another view or another
examination on the patient. It will be highlighted in blue.
Select "Move image".
Select Click on this
Move Click on this;

if you select "No" in the following confirmation prompt, you
cancel the procedure.
Yes Confirm image movement.
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Close Exit the operation.

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Moving an image from one patient's examination to that of another

patient
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Select the image to be moved; it will be given an orange frame.

n e e n 1 4
Select Click on this
Patient list Select Patient List section.

Select the patient to whom the image is to be moved.
Select the destination, which may be another view or another
examination on the patient. It will be highlighted in blue.
Confirm the prompt.

Move Click on this;
if you select "No" in the following confirmation prompt, you
cancel the procedure.
Yes Confirm image movement.
Close Exit the operation.

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1 41 n
1 41 1 n
The system supports the automatic and manual joining of several images
to produce one large image, e.g. for long leg or full spine examinations.
You can program stitching views for two or three cassettes. These can
be identified by the subdivision of the view into "Top" and "Bottom"
or "Top", "Middle" and "Bottom".
Example:
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For stitching you need the following accessories:

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1 4 n e e n
1 41 2 n e e
For Stitching, Philips offers double and triple cassettes of different sizes.
In these special cassettes the image plates overlap so that an entire image
can be created without gaps between the parts of the exposure.
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Rea
e e e
ee a
a e
e a
Rea l
e la e la e
Cl e
a
a a
e e e
a
e
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n e e n 1 4
1 41 e n n n n
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Fig. 10.1 Stitching view (Example)
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e la e
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Correctly position a double or triple format cassette according to

the marks "top", "middle" and "bottom"
Make the exposure.
Select view.
Link all plates at the correct point using the barcode reader.
Read out all plates.
After each plate has been read out the partial image appears first;
once the last plate has been read out, the system automatically
tries to stitch the images together. After a few seconds the stitched
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1 4 n e e n
image appears in the examination folder and in the view.
Philips recommends to carefully check the quality of the automatically

stitched image; in particular at the cut edges. For this reason, even if
automatic image confirmation is programmed, it is not activated for
Stitching exposures.
If no suitable images are available for the Stitching examination (for
example because the barcode was incorrectly linked), you may not be
able to finish the examination until you have moved the read-out images
to other, suitable examinations using the "Move image" tool (see chapter
“Moving images between examinations” on page 10-16).
1 41 4 e
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a e a a all
a al a e a a e
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a a al a e e a
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e a l e
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l al ve e
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l ve al ve e
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n e e n 1 4
n e nn
R ae a e e l ea e
ve a e a
R ae a e l ea e
ve a e e le
ve a e a
ve a e e
e ee e e l ave ee a e
all e e
e
e e e
a e el el e
e ee e e l ave ee a e
a ve la
a ee e e a a e l
a e e a al a e e a a e
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ea e a e e e a
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ve
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1 4 n e e n
1 41 5 n e
When all the images for a view have been read out, the system tries to
stitch them automatically. For this, the view is closed. If automatic
stitching is successful, a new view is generated with the resulting image.
Example
You can edit this image in exactly the same way as each individual image.
1 41 n e n
Automatic stitching may fail if the system cannot find enough reference
points in the individual images for reliable stitching. If this happens, the
individual images must be stitched manually.
Please note:
Brightness, contrast and processing of the individual images do not
affect the resulting image; it is made out of the raw data and then
automatically optimally processed in the form of a complete image.
You may therefore change the individual images before stitching so
that you will be able to stitch them optimally.
When stitching, you always move the bottom image. When working
with three images and "grabbing" the top cut edge, always move the
bottom two images as a unit.
The individual images are assembled to form a final image when you
quit the function with OK. This new image will be added to the
examination as a new view.
You can edit this image in exactly the same way as each individual
image.
Proceed as follows:
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Select partial image. It will be given an orange frame and will be

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maximized.
Select stitching.
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The two or three partial images appear as an (as yet unfinished)

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assembled image
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Assemble the images using the provided tools.

n e e n 1 4
If you are not happy with the result after applying a tool, you
can restore the original setup by pressing "Reset".
Use "Cancel" to cancel stitching.
OK Confirm stitching once you are happy with the preview image.
1 4 11 e e en
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n e nn
Cal a
va e al a
le ea e e a e a ea
P e le a e e e e val e
Pe eE e
e e n n n e n
n e e e n e e e e
e e e e en e n
e n e e e e e e en n
e ne e e n e e e e e
n e e e
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ele e a
ea e e
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e eae le
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e eae a e
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e e a e a le
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1 4 n e e n
n e nn
e eae e a le
Cal la e a el val e ea ae
e a
av ave a e
a a ev a
e e e le el
C a le
C a le
ele e ele e ele e
ele e all ele e
1 4 12 e e n e
Reset image processing to default:
scale to original size
rotate to predefined rotation
delete all annotations
delete all measuring marks
cancel all brightness and contrast changes
cancel all collimation changes.
delete calibration
reset to predefined image processing.
1 41 n e e n
This function is only available for the administrator.
Customize Click on Customize; you can customize the image processing
tools in the toolbar as you need them.
The background of the button turns blue and the tool
changes:
Select tool or function you want.
The background of the button turns blue:
Click on the place in the toolbar where you want to put the tool
or function (1).
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The selected tool appears in the toolbar (2) in the chosen

place:
Removing an image processing tool

If you want to remove an image processing tool from the image proc-
essing toolbar, replace the tool with the blank button:
Click on the blank button.
The background of the button turns blue:
Then click on that place of the toolbar where you want to insert
the tool or the function (1).
The selected tool is removed (2):
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For example, you can also use this function to restrict the availability of
the function to "for the administrator only".
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1 4 n e e n
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11 n 11
11.1 Overview ......................................................................... 11-3

11.1.1 The Print Section ............................................. 11-3
11.1.2 The Patient Information Window .................... 11-5
11.1.3 The Image Memory ......................................... 11-5
11.1.4 The Preview Window ....................................... 11-5
11.1.5 The template editor .......................................... 11-8
11.1.6 The Text Box Editor ...................................... 11-11
11.1.7 Activating Print Section ................................. 11-13
11.1.8 Editing Images and Viewports ........................ 11-14
11.1.9 The Tools for Free Composing ...................... 11-15
11.1.10 Extras ............................................................. 11-16
11.1.11 Using the template editor ............................... 11-17
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11 1 e e
11 1 1 e n e n
In the Print section you have easy and direct access to all the images in
the selected patient’s image memory. You can select print and film pa-
rameters, and lay out images on preformatted print templates and
manipulate them.
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PCR Eleva Ver. 1.1 P 11

11 1 e e
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l ev e a la a ea
ele l a e e
ele l a e a
ele l a e e
ele e la e
ele e
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ll e a e e
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l a e a l
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a e ele e a e
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11 4 P PCR Eleva Ver. 1.1

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11 1 2 e en n n n
It shows
Patient name
Patient ID
Date of birth
The information relates to the active image in the memory and is only
displayed if stored. The information shown in the window changes if
you select another image.
11 1 e e e
It shows all a patient’s images. If there are more images than can be
shown, you can scroll through them.
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11 1 4 e e e n
It shows the layout of the current image.
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PCR Eleva Ver. 1.1 P 11 5

11 1 e e
The menu bar

It shows the current film and printer settings. You can change the layout
with the following options:
n e nn
ele e e
ele a e a la a e
ele e e
ele e la e ee e e e
ele e
The printer bar

n e nn
C e
e a e e e ev e
e e e e a e e e
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P e a e l
ele e l
ele e ele e ele e e ev e a e l a ve

e ele e ele e a e ele e
e a e l a ve e ea e e a e
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ev a e l a ve e ea e e a e
e e
Re e a e
a a e
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Re e a e
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a a e
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a e a e
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l a e e e a e ale all a e e l
ale
11 P PCR Eleva Ver. 1.1

e e 11 1
n e nn
a e le a e e a e all a e
al val e
ale a e
ve a e le
ve a e
ve a e
ve a e le
Ce e a e
ve a e
ve a e le
ve a e
ve a e
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R ae a e
R ae a e
Re a e al ae
E a e e e la e e
E e la e
e ee
ve a e le e
ve a e e
ve a e e
ve a e le e
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Ce e a e
ve
ve a e e
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ve a e le e
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ve a e e
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ve a e e

11 1 e e
11 1 5 e e ee
To open the template editor:
Extras Click on this
Click on this
Click on image;
the template editor appears.
Fig. 11.1 Template editor
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n e nn
e e e aa e e la e e la
e val e a e e e e e a
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C a e al e a e e ee a a la a e
e a e e ee a ea e
e e a e e ee a e a le e
R e a e e ee a ea e
e a e e ee a ea e
al a a e e ee e a e la a e
e al a a e e ee e a e a
l a e a e e av a ve PCR
R a ele e la e e a a la
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Ca el a el a e
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E e la e a e
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11 1 e e
n e nn
e e e
e val e a e e e eve
e ve
P al e e le e e
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P ve al e e le e e
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e e e e
e al e al al e e
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e al e ve al ve al e e
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ele a al all e e
C aa
P ev e e ele e C aa
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Ca el a el a e
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Ca el e la e a e
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Cl e Cl e e la e e
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Pa e la la e le la a a l e l
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e la e le la a a l e ele e v e
la

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n e nn
l ele e la e ele e v e
e e a a e l
C a e ele e v e
e e a a e l
ele e ele e ele e el
e e a a e l
a e el ave
e e a a e l
C ea e e e la
e e a a e l
Re e all v e e l ve all a a a e ve
Re e ele e v e ve all a a a e ve
Re e all v e e l all a a a e
ve
Re e a ea e ele e v e all a a a
e ve
ea e a ea e ele e v e a e e
e
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ea e a ea e ele e v e a e e
e
Re e a ea e ele e v e e e e
all a e e e e a e
Re e e ele e v e e e e
all a e e e e a e
a ve l e e a a e a ea
Re eve l e e a a e a ea
a ve l e a a e a ea
Re eve l e a a e a ea
11 1 e e
Appears when you click on a text box in the template editor.
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11 1 e e
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ele e a e e
l e e e le
Ce e e e
l e e e
e e e e
e aae e e e e
e e e e e e
ve e a le e e all
e e C l e
ve e a e e all e
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ve e a e e all
e e C l e
ve e a le e e all e
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ve e a e e all
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ve e a le e e all
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ve e a e e all
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ve e a e e
all e e C l e
e e e e e
e la e e e a e e
e e e e
11 1 7 n n e n
Editing settings for a page
You can change the printer settings by selecting them from a selection
window in the menu bar. Some of the settings that are available depend
on which printer is selected (for example format, medium).
If more than one page is sent to the printer, you can edit each page
individually. You can move from page to page using “Next” and “Back”.
Configuring the printer for the current job
Click on this
A list of all available printers appears.
Select printer
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Please note:
Your choice of printer influences the list of available print media
(size, orientation, type). The menu bar shows only the print me-
dia supported by the selected printer. This means that changing
the printer may change size, orientation and type if the previously
selected printer supported a print medium which the current
printer does not.
Setting the medium size

Click on this
A list of all available medium sizes appears; it depends on the
selected printer.
Select medium size
Please note:
Your choice of medium size influences the list of available orien-
tations and types. The menu bar shows only the print media
supported by the selected printer. This means that changing the
printer may change size, orientation and type if the previously
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printer does not.

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Setting the medium orientation

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Click on this
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A list of all available medium orientations appears; it depends

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on the selected printer.

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Select medium orientation

Please note:
Your choice of medium orientation influences the list of available

11 1 e e
sizes and types. The control bar shows only the print media sup-
ported by the selected printer. This means that changing the
printer may change size, orientation and type if the previously
printer does not.
Setting the medium type

Click on this
A list of all the available medium types appears; this list de-
pends on the selected printer.
Select medium type
Set template for one page

Click on this
A list of all the available templates appears; this list depends
on the selected medium orientation as templates are orienta-
tion-specific.
The following standard templates are available in portrait and
landscape:
1.00 in 1
2 in 1 line
2 in 1 column
4 in 1
Select template
11 1 8 n e n e
Placing an image in a viewport
All images of a patient appear in the set of saved images. You can place
an image in the viewport by “dragging and dropping”:
Select image from the set of saved images by clicking on it
Click on the selected viewport
If the viewport is empty, the image is placed there.
If there is already an image in the viewport, it is replaced by the
new one.
If the old image was changed, this is applied to the new image.
Removing an image from the viewport

Select image from the viewport by clicking on it
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The selected image is removed from the viewport.

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Printing the image

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If the preview is OK,

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send it to the printer.

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Now you can

compose a new page with the images on hand
or
exit the print menu.
11 1 9 e ee n
The printer bar provides you with other print options.
Clicking on one of these buttons will open a submenu from which you
can select the function you want. Clicking the button again closes the
submenu.
Changing the image orientation
Open “Image orientation” submenu.
You can
rotate the image 90° to the left/right
or
undo rotation and flipping
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Scaling the image

Open “Scale image” submenu.
Apply same Use the same scale for all images on the film
scale
Link images Applies changes on one image to all images
You can
reduce/magnify the image by 1%
reduce/magnify the image by 5%
change the image so that it fits the viewport exactly
display the image in original size

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set a percentage.
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Zooming on an image field

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Zooming on an image field means moving the image as if under a mag-

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nifying glass. This function is usually used on images that are larger than
the viewport.

11 1 e e
Open “Zoom image” submenu.
You can
center (button in the middle) the visible part of the image or

move it 1% of the image size toward the
top left
top
top right
left,
right
bottom left
bottom
bottom right.
The default visible part of the image is top left.
Click on the image you wish to move.
Move image by clicking on one of the 9 direction buttons, until
it is in the position you want.
11 1 1
These functions are for changing templates and for displaying areas of
interest.
Extras Open “Extras” submenu
You can
change the current template
Open the template editor
The current template appears.
Change template
You cannot save the changed template.
When you close the template editor, the changed template is
taken by the composer and applied to the current page.
If you select another template from the list of available tem-
plates in the composer, the changed template is temporarily
saved in the template selection window. As long as no print
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job is sent with any template other than the temporary tem-
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plate, it remains available in the template selection window –

even for more than one page.
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If you close the composer with “End” or print the current

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page, the changed template is deleted.

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If the temporary template applies for more than one page, it

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is retained. You can print pages one after another with this
template. Once the last page is printed the temporary template
is deleted.

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Showing a region of interest.

This means that you select a rectangular area of the image which
has the same aspect ratio as the viewport. The image is then scaled
and modified so that the selected region fills the viewport exactly.
Maximum magnification is 500%.
Click on this
Draw a rectangle
The image is automatically modified.
11 1 11 n e e ee
Changing an existing template
Print settings Call up composer function
Templates Call up list of templates

Select template to be changed
Edit Click on this
Unless the selected template is a read template, continue with
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the step "Save changes" (see below).

If the selected template is a read template (you can tell this by
"*"), you cannot change it. Proceed as follows:
Duplicate Duplicate template
Select duplicate
Edit Open the template editor
The selected template appears (Example).
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Change template
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Close Save changes

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If you click on "Close" without saving the template, the template

will be deleted once you close the template editor.

11 1 e e
Creating a new template

Print settings Call up composer function
Templates Call up list of templates
Add Add a new template

A new standard "1 in 1" template is created and added to the list
of templates. You can edit this new template as described above.
Changing a template in the template editor

Please note:
Every template consists of the following elements:
One or more viewports
One or more text boxes for patient information
Annotations are not part of a template.
Templates are orientation-specific. This means that different tem-
plates apply for portrait and landscape media.
A portrait template can never be placed on a medium for landscape
and vice versa.
In the template editor, the template has a layout orientation; it can
be horizontal or vertical and is used for automatic layout when view-
ports are added or removed.
All dimensions and positions of a template are relative values and
relate to the format of the print medium selected later – given in
1/1000.
Changing the layout orientation of a template

The selected layout orientation appears on the top right in the template
editor. You can only choose between "horizontal" and "vertical".
Page orientation Change orientation
Changing template settings

Settings Open the "Settings" window
A list of current settings appears.
You can
Change Change the template orientation
The selected template orientation appears on the top right in the
template editor. You can only choose between "horizontal" and
"vertical".
Change template margins
The margin values define the area around the template, which are
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not valid for the viewports. It often makes sense to leave a header
or footer free for text information. The values to be entered are
relative coordinates – given in 1/1000 of the print medium for-
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mat.
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You define the template-edge distances by entering values for

top margin
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left margin
right margin and
bottom margin.

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You define the vertical and horizontal spaces between two view-
ports by entering values for the
horizontal gap and the
vertical gap.
Accept Confirm changes
or
Cancel Undo changes and return to the previous values.
Viewports
A template is structured in lines and columns. Depending on the layout,
there are various options for adding a viewport to a template:
The first step is the same in all options:
Page orientation If necessary, select the current layout orientation; "horizontal" or
"vertical"
Adding a column viewport

Select page by clicking on any spot on the page that is not also
an element of another page (viewport or text frame).
Add viewport
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A new viewport is added at the top left of the template. The ex-
isting viewports are reduced so that all columns are the same
width.
Adding a line viewport

Select page by clicking on any spot on the page that is not also
an element of another page (viewport or text frame).
Add viewport
A new viewport is added at the top left of the template. The ex-
isting viewports are reduced so that all lines are the same width.
Adding a viewport to a column

Select the column to which the viewport is to be added by clicking
on any viewport in this column.
Add viewport
A new viewport is added to the top of the column; the column
width stays the same. The existing viewports in the selected col-
umn are reduced so that all viewports in this column are the same
height.
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Adding a viewport to a line

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Select the line to which the viewport is to be added by clicking

on any viewport in this line.
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Add viewport
A new viewport is added to the line on the left of the column; the
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column height stays the same. The existing viewports in the se-

11 1 e e
lected column are reduced so that all viewports in this line are the
same width.
Manually magnifying or reducing a viewport

Please note: The template editor is programmed to make optimal use
of the space on the print medium. This means, for example, that re-
ducing the viewport height automatically increases the height of the
viewports below it in that column.
The first step is the same in all options:
Page orientation If necessary, select the current layout orientation; "horizontal" or
"vertical"
Changing the height of a viewport

This means keeping the top border where it is and moving the lower
border. The viewport below it changes to the same extent as a result of
the top border moving. It is only possible to change the height of indi-
vidual viewports within the columns.
Select the viewport whose height you want to change…
Increase/decrease height.
The bottom border moves down/up.
Please note:
You cannot move the bottom border of the last viewport in a
column downward; you can only increase its height by making
the viewport above it smaller.
Changing the height of a line of viewports

This means changing the height of all viewports within a line at the same
time.
Select the line whose height you want to change
Increase/decrease height.
The bottom border of all viewports in the selected line moves
down/up.
Please note:
You cannot move the bottom border of the last line downward;
you can only increase its height by making the line above it small-
er.
Changing the width of a viewport

This means keeping the left border where it is and moving the right
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border. The viewport to the right of it changes to the same extent; the
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left border of it is moved. It is only possible to change the width of

individual viewports within the lines.
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Select the viewport whose width you want to increase/decrease

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Increase/decrease width.
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The right border of the viewport moves to the right/left.

Please note:
The right border of the last viewport in a line cannot be moved

e e 11 1
to the right; you can only increase its width by reducing the width
of the viewport to its left.
Changing the width of a column of viewports

This means changing the width of all viewports within a column at the
same time.
Select the column whose width you want to change
Increase/decrease width
The right border of all viewports in the selected column moves
to the right/ left.
Please note:
The right border of the last viewport in a column cannot be
moved to the right; you can only increase its width by reducing
the width of the viewport to its left.
Changing the reference number and calipers position of a viewport

All viewports in a template have a reference number which appears in
the preview. It defines the print sequence. All standard templates have
four calipers (one per side), which you can delete separately.
Select the viewport to be changed
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Click on this
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The selected viewport swaps this number with the viewport which
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had this number before

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and/or
activate/deactivate calipers you want

11 1 e e
and/or
select image alignment
By putting the dot in the right place you can align the image as
follows:
aligned right/left
on the top/bottom border
in one of the four corners
centered.
Close Close list
Deleting a viewport
(not possible with 1-to-1 templates)
Select viewport
Delete viewport
The viewport is deleted from the line/column. If it is the only one
in the line/column, then the line/column is also deleted.
Text box
Text boxes are text fields which are automatically filled in from a report
or a data set. They can be a page element or a viewport element.
Adding a text box to a template
Click on the page or viewport to which the text box is to be added
Add text box.
Define a text box with a rectangle (see above "Draw a rectangle").

Then the text box editor appears (see below "Adding a text box").
Accept Confirm new text box
or
Cancel Undo and return to the previous setting.
Deleting a text box from a template

Select text box
Delete text box
Adding a text box

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Select text box

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Edit text box

The text box editor appears. The numerical values are the ones
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in the top left corner of the text box – relative to the elements to
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which they are added. This means that the coordinates of a text
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box, which belongs to a viewport and lies outside it, are either
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negative or larger than 1000.

You can change

e e 11 1
the position of the text box ("x-Pos", "y-Pos")

the size of the text box ("width", "height")
the position of the text ("horizontal", "vertical")
the text ("select text block")
Accept Confirm changes
or
Cancel Undo changes and return to the previous setting.
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12 e 12
12.1 What is iSite? .................................................................. 12-3

12.2 Log in ............................................................................. 12-4
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12 1 e
PCR Eleva supports direct access to a Philips iSite Web Server. So you
can display and process images of all patients available in iSite on the
operator's console.
Conditions for the use of iSite:
You have licenced access to an iSite Web Server (not part of PCR
Eleva).
The correct PACS configuration is installed on your computer.
The correct iSite Web application is installed on your computer.
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PCR Eleva Ver. 1.1 e 12

12 2 n
12 2 n
Follow the iSite log-in procedure and note the following:

The iSite Auto Logout function is provided.
If you log out on PCR Eleva (including by Auto Logout) and log in
again, iSite access may still be open (unless you have been logged
out by iSite Auto Logout).
You will find more information on iSite in your iSite documentation.

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12 4 e PCR Eleva Ver. 1.1

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1 e n n n n
1
13.1 The System section ......................................................... 13-3

13.2 Adjusting the touch screen .............................................. 13-8
13.2.1 Opening the setting screen ............................... 13-8
13.2.2 Brightness ........................................................ 13-8
13.2.3 Calibration ....................................................... 13-8
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1 1 e e e n
You will find all the customization functions and all service functions
in the System section. Functions not described here can be found in the
Application Guide.
You can turn off the PCR system under System; see chapter 5.2.
General
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PCR Eleva Ver. 1.1 e a a a a 1

1 1 e e e n
Export queue
a e e ll ave ee e
e ll e ave ee e ll e e
e a le e ea e a le e
Ca el Ca el
Re Re a el
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1 4 e a a a a PCR Eleva Ver. 1.1

e e e n 1 1
Print queue
a e e ll ave e e
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Ca el Ca el
Re Re a el
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PCR Eleva Ver. 1.1 e a a a a 1 5

1 1 e e e n
DicomMedia
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Rea a la C e e l ll e lle
a le all ave ee e ll
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eC n
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a ee a e
e n en C e e e e C C
Quality assurance
e a al ae
P e ele a al ae e
E E ea l a al a
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C e a ee a e e e a e e
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a e la e ea e Clea la e ea e
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Re e a al al e e e e a e
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a e la e a a a e a e la e
1 e a a a a PCR Eleva Ver. 1.1

e e e n 1 1
Settings
e e a e e e e e al e l
e e e la ee a a
e e a e la
v al e a
a e eae a ea a a e e e e
P e l ele e a e a e e l a
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P e a ee a ee e
P e a a e e la e
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C a ee a a aa ee
C a eR e
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Administration
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1 2 n e een
1 2 n e een
1 21 en n e e n een
Quality assurance Select Perform calibration
Monitor Select this

1 22 ne
Monitor Select the touch screen (17" LCD Touch (ELO))
Viewing conditions Select the ambient light in which the monitor is used (darkroom,
normal light, bright light, measured).
Apply confirm changes
1 2 n
You should always calibrate the monitor when the mouse pointer or the
monitor’s reactions to finger pressure do not correspond to the point
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you have clicked or touched on the screen.

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Touch screen Select this

adjustment Cross hairs appear at a point on the screen.
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Touch it from the normal perspective.

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Two more crossed hairlines appear one after another.

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Touch them from the normal perspective also.

n e een 1 2
Confirm your selection.

Perform calibration Select this.
The monitor is calibrated.
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14 e e e nn 14
14.1 Service ............................................................................. 14-3

14.1.1 Safety Checks ................................................... 14-3
14.1.2 Repairs ............................................................. 14-4
14.1.3 Recording Results ............................................. 14-4
14.1.4 Obligations of the user ..................................... 14-4
14.2 Tests by the user .............................................................. 14-4
14.3 Cleaning .......................................................................... 14-5
14.3.1 Cleaning the System ......................................... 14-5
14.3.2 Cleaning the PCR plate reader ......................... 14-5
14.3.3 Cleaning the image plates ................................. 14-8
14.4 Disposal ........................................................................ 14-10
14.4.1 Recycling ....................................................... 14-10
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14.4.2 RoHS requirements (China) .......................... 14-10

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14 1 e e
14 1 1 e e
The safety checks relate to function and operational reliability. They
must be performed at least every 2 years. These checks constitute part
of preventive maintenance under service agreements from Philips. They
cover
Visual checking for completeness and apparent damage or defects as
well as soiling, sticking parts and wear and tear which may affect
safety;
Testing the monitoring, safety, display and indicating systems;
Measuring the safety-relevant output parameters;
Checking electrical safety (as per EN 62353) and the internal energy
supply;
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For the particular product, other special technical tests according to

the generally accepted standards of engineering practice;
Other tests specified by the manufacturer;
Recording results and filing the test reports in the system manual
(medical products logbook).
Medical-technical systems contain mechanical components which are

subjected to wear and tear due to operation.
The correct setting of the electromechanical and electronic assemblies
affects the functioning, image quality, electrical safety and exposure of
the patient and medical personnel to radiation.
Philips recommends:
that the user perform the tests indicated in the table on a regular
basis.
that you have the device serviced by the Philips Service Organization
at least once a year. You must have heavily used equipment serviced
more frequently.
In this way you avoid endangering the patient and you meet your ob-
ligations.
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A service agreement with Philips will retain the value and safety of your
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equipment. All the necessary maintenance, including the safety tests for
preventing hazards, and the necessary adjustments for optimum image
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quality and minimum exposure to radiation, are performed at regular

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intervals. By mutual agreement between you and Philips, service inter-

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vals can be scheduled according to your individual needs, taking into

account local legislation.
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PCR Eleva Ver. 1.1 e v e lea al 14

14 2 e e e
14 1 2 e
14 1 e n e
Service and repairs must be entered in the medical products logbook,
including the following data:
type and scope of work,
if necessary, details of any changes to ratings or the working zone,
date, person performing the work, signature.
14 1 4 n e e
As with any technical appliance this equipment also requires
proper operation,
regular testing by the user,
regular service and repair.
By taking these precautions you maintain the operability and opera-

tional reliability of the equipment. As the user of this equipment you
are obliged according to accident prevention regulations, the medical
products law and other regulations to take such precautions.
Maintenance consists of tests which the user can perform and main-
tenance which is performed under service agreements, Philips service
orders or by persons explicitly authorized to do so by Philips.
14 2 e e e
The user must check this device for apparent defects (see table). If op-
erational defects or other deviations from normal operational behavior
occur, he must switch off the device and inform the Service Organiza-
tion. He may only resume operation of the device after it has been
repaired. Operation using faulty components may lead to an increased
safety risk.
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14 4 e v e lea al PCR Eleva Ver. 1.1

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14 e nn
14 1 e nn e e
When selecting a detergent, please note:
You may only clean plastic surfaces with soap and water. If you use other
cleansers (for example with a high alcohol content), the material will
become dull or tend to crack. Never use any corrosive, solvent or abrasive
detergents or polishes.
When cleaning, please observe the following:
Before cleaning the equipment switch off at the mains.
Ensure that no water or liquid can enter the equipment. This will
prevent short-circuits in the electrical system and corrosion on com-
ponents.
You should wipe enameled parts and aluminium surfaces only with
a damp cloth and mild detergent and then rub with a dry, lint-free
cloth.
Rub down chrome parts with a dry, lint-free cloth only.
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14 2 e nn e e e e
PCR Compano plate reader
Remove any dust from the outside of the plate reader approximately
every three months. First work with a vacuum cleaner and use a slightly
moist cloth for cleaning. Then remove any remaining moisture with a
dry cloth.
Take out the dust filter on the left side of the device in one piece together
with the filter cover. Afterwards remove the cover first of all and then
take out the filter insert. Clean it with a vacuum cleaner.
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PCR Eleva Ver. 1.1 e v e lea al 14 5

14 e nn
The PCR Corado, CosimaX and S Hi-res plate readers
Remove any dust from the outside of the plate reader approximately
every three months. First work with a vacuum cleaner and use a slightly
moist cloth for cleaning. Then remove any remaining moisture with a
dry cloth.
Take out the dust filter on the left side of the device in one piece together
with the filter cover. Afterwards remove the cover first of all and then
take out the filter insert. Clean it with a vacuum cleaner.
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The PCR S and S Plus plate readers

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14 e v e lea al PCR Eleva Ver. 1.1

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Remove both covers.
Remove the filter from the inside of the upper cover. The lower
cover does not contain a filter.
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Clean all filters, covers and air inlets with a vacuum cleaner.
Place the filter in the inside of the upper cover.
Reinsert the covers.

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Clean the air outlets with a vacuum cleaner.

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14 e nn
Self cleaning
For the following plate readers a self cleaning function is available:
PCR S
PCR S Plus
PCR S Hi-res
PCR Corado
PCR Compano
PCR CosimaX
Depending on plate frequency this self cleaning should be performed

once a month.
For activating self cleaning select on the operator's console
System
Quality assurance
Image plate reader
Clean
After pressing “Clean” the reader performs a self cleaning of it's
scanner that takes about 15 s.
After cleaning the following message appears:
“Scanner cleaning successfully performed.”
14 e nn e e e
Have the supplied sheet ready which contained the plate in its cardboard
envelope on delivery. Put this underneath when cleaning the plate. Use
lint-free cotton (gauze 100% cotton) or lens cleaning cloths for cleaning.
Once a month remove the image plates from the cassette and check
whether dust or dirt has gathered on the surface.
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Unlock the cassette lid by slipping across the locks on the back
of the cassette, and open the lid.
Clean the top side first of all. Move the cleaning cloth over the
image plate gently, as follows:
Then turn over the image plate (X

X) and clean the other side.
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Remove dust and dirt from both sides of the image plate, not only
from the phosphorescent side.
If specks of dirt cannot be removed by this method, moisten the
cleaning cloth with ethanol ("anhydride", ≥99.5%). Do not use
any other detergents besides this e.g. solvents. If you use ethanol,
bear the following in mind:
Wipe the image plate with a dry cloth afterwards.
If you frequently clean the image plate with ethanol, the edges
may turn yellow with time. However, this does not impair func-
tion.
Next, place the image plate carefully back into the cassette with
the front of the plate facing the same direction as the front of the
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cassette.
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Before you close the cassette again, ensure that the image plate is
not jutting out of the cassette.
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Lock the cassette lid by slipping across the locks on the back of
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the cassette.
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14 4
14 4
14 4 1 e n
Philips manufactures state-of-the-art equipment in terms of safety and
environmental protection. Assuming no parts of the system housing are
opened and assuming the system is used properly there are no risks to
persons or the environment.
To comply with regulations it is necessary to use materials which may
be harmful to the environment and therefore have to be disposed of in
a proper manner.
For this reason you must not dispose of this equipment together
with normal industrial or domestic waste.
Philips
supports you in disposing of the equipment described in a proper
manner,
returns reusable parts to the production cycle via certified disposal
companies and
thus helps to reduce environmental pollution.
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Please contact the Philips Customer Service in full confidence.

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14 4 2 e e en n
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The following table shows the contents of hazardous/toxic substances

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or elements:
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14 4
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PCR Eleva
x - the hazardous substances in at least one of the homogeneous materials

of the unit exceed the concentration limits defined in the standard,
o - the hazardous substances in all homogeneous materials of the unit
are below the concentration limits defined in the standard.
PB is only applicable for cassettes with leaded back.
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15 e n 15
15.1 General data .................................................................... 15-3

15.1.1 Ambient conditions and power supply ............. 15-3
15.1.2 Operator’s console ............................................ 15-3
15.1.3 Computer ........................................................ 15-4
readers .............................................................. 15-4
15.1.6 The PCR AC500 plate reader .......................... 15-7
15.2 Electromagnetic compatibility (EMC) data ................... 15-11
15.2.1 Electromagnetic emission ............................... 15-11
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15.2.2 Electromagnetic interference immunity –

recommended safety distances ........................ 15-12
15.3 Labels ............................................................................ 15-13
15.3.1 Operator’s console .......................................... 15-13
readers ............................................................ 15-15
15.3.4 The PCR S and S Plus plate readers ............... 15-15
15.3.6 The PCR AC5000 plate reader ...................... 15-17
15.3.7 The PCR Cosima plate reader ........................ 15-18
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15 1 ene
15 1 1 en n n n e
Environmental specification
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Rel e a
a a a e
e ea e C C
Rel e a
Power supply
a v la e
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C e a
C a C a C a
Pl e
C C C a
C Ca a
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15 1 2 e n e
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PCR Eleva Ver. 1.1 e al a a 15

15 1 ene
15 1 e
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R
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C Re e
15 1 4 e n e e e e
Pla e a la e
Ca e e elea e e e a e e e
a ale e e ea el a ale
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C a C a
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C a C a
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C a C a
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C a C a l
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Cassette sizes
The plate reader can process cassette sizes in metric or inches with no
need for adjustment.
e e n n e n
R
R
e
R
ve
R
e
al
e
P l
1
High Resolution
2
High Resolution Base transparent Detect (double-sided readout)
3
Standard Base transparent Detect (double-sided readout)
15 4 e al a a PCR Eleva Ver. 1.1

ene 15 1
Processing times
The following data is based on the processing of one image plate from
automatic unloading from the cassette to loading after processing.
e e e e n e
a la e
a la e
a la e
a la e
R a la e
R a la e
R a la e
R a la e
a la e
a la e
1
High Resolution
2
3
e
Image sizes in pixels

e e e n e n
e e
R
e
ve
e
al
e
P l
PCR Eleva Ver. 1.1 e al a a 15 5

15 1 ene
e e e n e n
e e
a ale e e ea el
1
High Resolution
2
3
15 1 5 e n e e e
Pla e a la e
a ale e e ea el
a e
ea a
e
e
Cassette sizes
The plate reader can be configured to cassette sizes in inches or metric.
e e n n e n
R
R
1
for S Plus with 50 µm scanning option
e
ve
Processing times
e

al
e e e e n e e
e
P l
a a
a a
15 e al a a PCR Eleva Ver. 1.1

ene 15 1
e e e e n e e
a a
a a

e e n e n
e
e e
e
a ale e e ea el
15 1 e 5 e e e
Cassette sizes
e e n n e n
R
a a
R
a a
1
High Resolution
e
Processing times
ve
e

al
e e e e n e e
e
a
P l
a
a

15 1 ene
e e e e n e e
a
R a
R a
1
High Resolution
e e n e n
e
e e
a ale e e ea el
15 1 7 e 5 e e e
Cassette sizes
e e n n e n
R
a a
R
a a
1
High Resolution
Processing times
e
ve

e
e e e e n e e
al
a
e
a
P l
a
a

ene 15 1
e e e e n e e
R a
R a
1
High Resolution
e e n e n
e
e e
R
e
a ale e e ea el
1
High Resolution
15 1 8 e e e e
Cassette sizes
e e n n e n
R
a a
R
e
a a
ve
2
High Resolution Base Transparent Detect (double-sided readout)
e
Processing times
al
e
P l

15 1 ene
e e e e n e e
a
a
a
a
R a
R a
2
e e n e n
e
e e
a ale e e ea el
2
15 1 9 n e e e
Pla e a la e
a ale e e ea el a ale
a e
ea a
e
e
ve
e
e
Cassette sizes
al

e
e e n n e n
P l

e ne 15 2
e e n n e n
Processing times
e e e e n e
a la e
a la e
a la e
a la e

e e n e n
e
e e
e
a ale e e ea el
15 2 e ne
15 2 1 e ne e n
e n e n e e ne en n en
e e en e ne
e
e a e e e e lel
ve
C PR e al e
a e e e e ve l a ve
e
l el e ee ele a
aa ev
al
e
P l

15 2 e ne
15 2 2 e ne n e e en e n – e en e
e n e
(between portable and mobile RF communications equipment
(transmitters) and this system)
The system is intended for use in an electromagnetic environment in
which radiated RF disturbances are controlled. The customer or the user
of the system can help prevent electromagnetic interference by main-
taining a minimum distance between portable and mobile RF commu-
nications equipment (transmitters) and the system as recommended
below, according to the maximum output power of the communications
equipment.
e e n n e n e en n e
e n e
15 8 8 8 8 25
12 12 12
5 5 7
For transmitters rated at a maximum output power not listed above, the
recommended separation distance d in meters (m) can be estimated
using the equation applicable to the frequency of the transmitter, where
P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer.
e
ve
e
al
e
P l

e 15
15 e
15 1 e n e
3
e
10
4 5
7 8 9
e
R e e
aa al a
CE
e e
Other labels are depicted in the computer documentation.

e
ve
e
al
e
P l

15 e
15 2 n e e e
la el E
Cla ev e
E e a a
Cla la el
e
ve
e
al
e
P l

e 15
15 e n e e e e
EC E a a e la e
ev e la la el
e
a a la e e a a
a
15 4 e n e e e
e
ve
EC a a e
Ele al aa
e
CE
al
e a a EC
e
e a E
Cla la el
P l

15 e
15 5 e 5 e e e
la el e a a
E E
Cla la el Cla ev e
e
ve
e
al
e
P l

e 15
15 e 5 e e e
e
la el e a a
E E
Cla la el Cla ev e
e
ve
e
al
e
P l

15 e
15 7 e e e e
la el e a a
E E
Cla la el Cla ev e
e
ve
e
al
e
P l

e n en
1 en 1
16.1 Notes on Radiography Techniques with UM and DRR

......................................................................................... 16-3
16.2 If the barcode reader is not working .............................. 16-11
16.3 Error messages ............................................................... 16-12
16.3.1 What you should know .................................. 16-12
16.3.2 Type 1 messages ............................................. 16-13
16.3.3 Type 2 messages ............................................. 16-20
16.3.4 Type 3 messages ............................................. 16-23
16.3.5 Type 4 messages ............................................. 16-25
e
e
ve
e
al
e
P l

e n en
e
ve
e
al
e
P l

1 en
1 1 e n e n e n
The following chapters describe how you work with the radiography
techniques UM and DRR.
Different radiography techniques
The following radiography techniques are available: ...
Standard exposure
Exposures with contrast media
Tomography
Tomography with contrast media
For each of these radiography techniques, distinct sets of parameters are

programmed for reading out the image plate. To obtain good results,
the chosen radiography technique and the setting must correspond with
e
the actual exposure conditions.

Image plate formats
In all modes, the plate reader can detect the following subformats on an
image plate:
v e v e ve
all a all v e
e a ea ll
a
Modes (readout modes)

e
There are 4 modes for the plate reader (readout modes). You can set
ve
these on the operator’s console in the System section.

1. Auto (standard setting)
e
Exposure and area of object are measured from the middle of the
al
cassette to the edges of the collimation.

e
2. Semi
You use this mode for irregular collimations and ones that take up
P l
less than one third of the image plate. The middle of the image plate
must be exposed, since the plate reader analyzes the exposure here.
PCR Eleva Ver. 1.1 e 1

1 1 e n e n e n
3. Fix
The image plate acts like a conventional screen-film combination
with fixed sensitivity. It is used in density techniques.
4. Manual
The image plate is read out in the Auto mode. Then a window ap-
pears on the monitor of the plate reader for the S and L values to be
set manually.
The Auto mode is the standard setting and can read out most exposures.
Notes on the Auto mode

The Auto mode is suitable for most exposures. The following collima-
tions are available:
n
C le val e e a le
e la l
Re a le
C ll a a allel e
e e e a e la e
In the following figures the collimations shown here are used as symbols.
e
ve
e
al
e
P l

e n e n e n 1 1
Overview of the body regions

e
e
ve
Note 1
This collimation detection is used for standard exposures and exposures
e
with contrast media from the head to the lower extremities. The fol-
al
lowing collimations are available:

e
P l
PCR Eleva Ver. 1.1 e 1 5

1 1 e n e n e n
Right Wrong
You can divide up the image plate as follows:
If you divide up the image plate, you must expose all sections. No section
may remain unexposed. Do not choose too small a field for exposure.
At least one third of the section must be exposed. For round collimations
choose the diameter so that the length of the side of the enclosed square
(l) is greater than a third of the length of the side of the section (L).
The borders of exposed sections must not overlap much with metal
parts. Position the object you want to depict as exactly as possible in the
middle of the image plate; if you are working with sections, then as
exactly as possible in the middle of the section.
Note 2
This collimation detection is used for standard exposures from the head
to the pelvis. The following collimations are available:
Right Wrong
Do not choose too small a field for exposure. At least one third of the
section must be exposed. For round collimations choose the diameter
so that the length of the side of the enclosed square (l) is greater than a
third of the length of the side of the section (L).
e
ve
e
al
e
P l
parts. If you divide up the image plate, you must expose the entire sur-
face. Do not collimate in this case.
1 e PCR Eleva Ver. 1.1

e n e n e n 1 1
Right Wrong
max. No
overlap!
5 mm
Note 3
This collimation detection is used for all tomographic exposures and for
the extremities.
Position the cassette carefully in the exposure unit of the X-ray unit.
Ensure that the collimation is parallel to the edges of the image plate.
With rectangular collimations, the angle between the collimation and
the edge of the image plate must be no more than 3°.
max. 19 mm max. 16 mm
3˚ max. 3˚ max.
e
35 cm x 43 cm 24 cm x 30 cm
The following applies to symmetrical collimation:
The following applies to one-sided collimation:
l3 l 3 < 36 mm
e
ve
e
al
The midfield of the image plate must lie within the exposed area.
e
P l

1 1 e n e n e n
Midfield 25 mm x 25 mm
The length of the side (l) of the exposed field must be greater than a
third of the short edge of the image plate.
The collimation is not detected if the overlapping area of the exposed
field and the area filled with contrast medium is less than a third of the
length of the edge of the image plate.
l l
a+b>
3
b
parts. If you divide up the image plate, you must expose the entire sur-
face. Do not collimate in this case.
Right Wrong
max. No
overlap!
5 mm
Note 4
This collimation detection is used for exposures of the stomach with
contrast media and of the neck.
Position the cassette carefully in the exposure unit of the X-ray unit.
Ensure that the collimation is parallel to the edges of the image plate.
With rectangular collimations, the angle between the collimation and
the edge of the image plate must be no more than 3°.
e
ve
e
al
e
P l

e n e n e n 1 1
max. 19 mm max. 16 mm
3˚ max. 3˚ max.
35 cm x 43 cm 24 cm x 30 cm
The following applies to symmetrical collimation:
The following applies to one-sided collimation:

e
l5
l 3 < 36 mm
l3 l 4 < 36 mm
l5
l 5 < 36 mm
l4 l4
If you only use the image plate for one collimation, it must not extend
excessively over one side of the image plate.
l1
0.6
l2
l1
l2
e
ve
You can divide up the image plate as follows:

e
al
e
P l
The length of the side (l) of the exposed field must be greater than a
third of the short edge of the image plate. The midfield of the image

1 1 e n e n e n
plate must be exposed. The sections must also expose the midfield of
the image plate.
Right Wrong Right Wrong
parts.
l
a
l
a+b>
4
Notes on neck exposures

Pay attention to positioning:
Generally, pharynx and larynx are only depicted weakly in normal ex-
posures. For this reason, you should use the readout mode “Fix” in these
cases. This applies to exposures with and without contrast media.
For AP exposures of the pharynx and larynx, position the neck in the
field you wish to expose. It is important that the neck is centered ver-
tically.
Position the neck inside the area outlined in gray, and the central neck
area in the middle of the collimation.
a L a
= 0.2
L
e
ve
e
If you use lead type with pharynx and larynx exposures, it must not be
placed within the area outlined in gray.
al
e
P l

e e e e n n 1 2
b
b = 0.7
M
L a
a
= 0.2
L
Notes on the Semi mode

Position the region of interest in the midfield of the image plate. The
different measuring fields are assigned to particular exposures.
10 cm x 10 cm 7 cm x 7 cm 5 cm x 5 cm
Semi I Semi II Semi III

e
Do not position any insignificant parts of the object in the midfield.

Adjust the tube voltage according to the thickness of the body part to
be depicted.
Notes on the Fix mode
The parameters for reading out the image plate are fixed. The exposure
conditions for an exposure do not differ from conventional X-ray ex-
posures.
1 2 e e e e n n
You can enter the barcode of the image plate using the keyboard:
Make sure that the right view is selected.
The background of the selected view of the examination type is
blue:
You will find the barcode (A) on the top of the image plate.
Transfer only the 8-digit sequence of numbers from the image
e
ve
e
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P l

1 e e
plate.
Type in barcode.
A window appears for the numerical code to be entered.
Once you have entered the final digit, the input window dis-
appears and the barcode appears beside the view (A).
Take the planned X-ray exposures.
1 e e
1 1 n
The system generates four types of error message.
e
The illustration shows you where these messages appear on screen.

ve
e
al
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P l

e e 1
1 2 e1 e e
These messages require confirmation.
e e e e
a al a e la e ea e e e a e la e ea e a al a a ee Call e v e
E e e e Plea e
e a e la e ea e P e e
e ve e a e e
a al a e la e ea e e e a e la e ea e a al a a ee a all e v e e e a
E e e e
e a e la e ea e a
a a e le e a all e v
e
l e e l e ava la le Call e v e a e e e e e e e e al e e a
e l e e l e val a ee el e e a e e Call
ev e ee ee e
ea e e a e a a e e Call e v e
e e ee a l E e e
e Call e v e
a le l a e ee a a e ea e a a la e l a e e a a
l e a ea e a e e a le e e a a
e
a a
a e la e a ee e e e e a e la e a e la e ea e a C e e a e la e a ae
a e la e ea e E e e a e e e ee ll a a e
e a ee a e l a a e a ea
a e e e e e a e la e a ea
eae a e ee e
C ER CE e e ee a al e e Call e v e e a el
C e l e a e e a e a eC a le e al e Call e v e
e e Call e v e
C a ae le e E C a e a e la e ea e a Re e a e la e ea e
e e e Pe e a e
e e a e la e ea e
C e e a e aa a el e aa ae e a l e a Re a e e e e a e
Re a e e e al e av l aa
aa ae le e a e e e aa ae e a l e a Re a e e e e a e
e l e ele e e e e al e av l aa
e e a e
a ele e a e e a e a e a e e a
e ele e a a e
a ee e e al a ee l e
e
e a e e a a a
e a e ee a
ve
elle
e
a e ee e e a e a a ev e a e ev e a ele e e e a e a e
a l e a a e a a Eleva e a a a e a
al
e
RR a e e aa ee e RR a e e l val C e e val aa ee e
e a e e e aa ee e all e a e e l ele a e l
P l
e e ea C e l e l ave a e l
a e e a e e ee e e e l e
E l

1 e e
e e e e
E a e e e e E e e E a e e a a e la e a e e
e a e la e e
a e e Pe e e ve
e a e ea l a a a e la e e
a e e
ERR R e e ea P al e eC e a e C e e a
eC a le a e e e a e al C la
e a e e le eC e a a e
la
ERR R e a e aa ae le e e a a ele le e ele e e a a a ae l e
l ll a all ele e e a a e e ee a e le e a e ee e Call e v e a e e
e e ee a aa ae e l v ea a e a
le l ee a a e l a e
ERR R e e a le ea e e e l e a PP e Re a e PP e ve a e e
PP e ve PP e a e a e a e e e a a l e e le e a
e e a e ee e all e v e
E e e ea a e la e E a e la e l e a e la e
e e e E
E EP E PR CE E
Pe e e ve e a
e ea e e a e e e
a e la e l a
E ea
a e la e E e a e la e eae Eae e a e la e
e e E E
EP E E ER E E
RE RE E P e e
e ve e a e e
E ea a e la e e ve e a e la e a ee a l ve e e e a e la e Re
e E e e e e a ea a a ll a
a e ee a e a e
la e e a e e Pe e
e ve e a e e
E a e e l a e e l ave ee e C e all val a e e
a Re e e e a e e ve e a e l E a l
l ae Call e v e
E e la e a e P e la e ee e ve e a e C e all val e la e E
ee e e la e e e a l
val Call e v e
E e a e a P e ave ee e ve e a e C e all val e a e ee
e ee e e a e ev e E a l ee e all e v
e Call e v e e e e el
E ee a a a a e e ee a a Call e v e
a a e Call e v e a aa ae
e
E le ea ea a e la e a e la e ea e a a ee Call e v e
ve
e e E E
EP E E ER E E
e
RE RE E P e e
e ve e a e e
al
e
E a le e e a eC a le e al e Call e v e
P l
a le a a e e a e a a all ea a al a le a e e a e a all ee
Plea e a a e e a all e le e e e l all e v e

e e 1
e e e e
a le all le e e a e a le all le e e a e C e a e e a a e
e C e e alla C a e e
ele e a
a le l a aa ea l e e el l l a e e a val a le a a
Plea e all e v e a a le a a l e l le e e e
aa a e e e e e e a a l a e
e a ea ea l a a e ea
a e a a le a e e e
a le l a a e a aa e P a e l l a e e a val a le a a
le Plea e Call e v e a
a a le a l e l le e e e
aa a e e e e e e a a l a e
e a ea ea l a a e ea
a e a a le a e e e
a le e a e a a all ea a al a le e e e a e e
Plea e e e e a a all e le e
e a all e e l all e v e
a le e a e a all e a e a e e Re e a al a a e e e
a a e e a ea a e e e e a al a a e e e a e a e e e e le
e a a a e e e e e l all e v e
a el E e a e la e ea e a ee Call e v e
e e l a e ea
le ea a a a e e e
e
ele Call e v e
ll l e e le l e e e e a val l e e le ele E e val l e e
e e e e e a a e le a e PCR Eleva ele e
e e a ve a e e a e e
e l e e a e PCR Eleva
a e la e a e e e e a e la e ea e le C e e e a e la e l e
ea e E e e e e l Re e
Pe e e ve e a
e e
a e la e ea e e ee l e a e la e C e e e a e la e l e
E e e e Pe e e l Re e
e ve e a e e
a e la e ea e e ee l e a e la e Ee a e la e a e a e l
E e e e Pe e
e ve e a e e
a e la e l a e E e a e la e ea e a ae le C e e a e ea e a e la e
e e Pe e a e la e a e e le
e ve e a e e
a e la e ea e la e l e e a al la e ele e val e e Call e v e
P e le e la e e e e a e la e ea e la e l e e e
e e e l E e e e
e
e
ve
a e la e ea e ae ae ae a e la e ea e
le e E e e e le e
e
Pe e e e ea
e
al
a e la e ea e e a e la l e e a e la e ea e e a e la Call e v e
e
ve E e e e Call
P l
ev e

1 e e
e e e e
a e e l e a e e l a e ele a e a e e l
e Plea e ele a e ve e e eP le e a e l
l e a le l e e ea e a e l
e a e e e e
ee e e l eE l
e al e a eC a le e al e Call e v e
e al al a e a eC a le e al e Call e v e
val e e e e a el e v e C e a Re e e e e e e
e val e e ave ee e ve a ee a e e e l e e e e a a val
C e e e a a le ee e a e C e a e
e e e e e a
C l ave ee e ve a a all
val e e e a el e v e e a a ee Re e e e e e
e val e e ave ee e ve a e e e l a le e e e a val
C e e a e e a e C l ae e a l a
e ve a a all
al a e e e Call P l e a e a ve e l Call P l e e
e a a e e a a e
al ea e e C
a
e ee a a e e ee a a Call e v e
a a a a e Call e v e a aa ae
e
e e e ve a e e a e a e la e ea e a e C e e e a
E e e e e a e l e e Call e v e
e E E EP E a e e le
PR CE E P e e e
e ve e a e e
R e ava la le e e e a e aa Call e v e
vaR e ee R
e ava la le
val a a e a le Call e v e e e ava la le
e Call e v e e e la e el
val e e Call P le e a e e Call e v e e e ava la le
ev e a e a e a e a e a el
val e a Call P le e a e e Call e v e e e ava la le
ev e a e el
Pa e a a a e ll v e ee e a a ele le e a e a le l ee a a e l
a e e l e e a a e e e a e aa ae ll a e ee a e v e
a all ele e e e a ae l e a a e a le level a all ele all e e a e a a
ee e e e
Pa e e a e al e e e a e l a e a e
ea ee e a a a e Plea e ele a e e a e a e a ae al ea ee a e e
e
e val e e a e al ea ee
ve
e aa ae
Pla e ea e e e e e e e e e ea Call e v e
e
ea e E e e e
e Call e v e
al
e
Pla e ea e e a e ee E e a e la e a ee e a e Call e v e
e e e Pe e e l e a e e e ee e a e
P l
e ve e a e e Call e v e la

e e 1
e e e e
Pla e ea e e ea e eae e a e la e a ee e a e a l eve al e all ee a e
la E e e e e l e a e e e a e la ave ee la l Eae a e la e
E EP E E ER E e e a l e e
E RE RE E P e e ea e
e ve e a e e
Pla e ea e v la e Call e v e Pla e a a ee Call e v e
Plea e e e ea e e e a e C le a a e a e a a ve e e ve
ee e v al a e ve e a lea e ve a a e l ve e a e e
a al v e a a e e a e ve a al v e
Plea e e a e e a e e a a e Re a e e
a e a e a ava la le a a e la e a e
E l
P a ele a e a eC a le e al e Call e v e
e a e e e
P a le a e a eC a le e al e Call e v e
e a e e e
P a e e a e P e C e e a a
e a le C e e a e e a e le e e ll e a a e
e le e a all e v e
Re ve e e P e a e ve a l a e a e
e e e a e e l e ee a a a all
e
Re e e la a l e l e e le a e e ae e e e l e e le e e e e l e e le a e PCR Eleva
PCR Eleva e l e e le e la e e la e e e e a ee
a le e e e l e e le
Re a e a a le E a e la e ea e a a ee e C e a a ea e a
e e e e a e la e a Call e v e
a e e e a e l e
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17
DICOM
Digital Imaging and Communication in Medicine. Medical technology
standard for data formatting and transfer.
DICOM Worklist Management
Special DICOM standard for managing worklists.
Image plate
A reusable plate, stored in a cassette, which becomes electrically excited
when struck by X-rays. When the image plate is read out with the aid
of laser radiation a digital image is generated.
Mandatory fields
Entry fields which must be filled in in any case, otherwise one is not
allowed to continue.
MRM code (menu code)
e
Designates a parameter set for the reading process on the plate reader
depending on the type of examination.
PCR
Philips Computed Radiography; name of the image plate system from
Philips in digital radiography.
RIS
Radiology Information System; central data input and management
terminal for the radiology department.
S/L values
Manual setting on the plate reader:
S = (Sensitivity) value for the sensitivity when reading out the image
plate (brightness).
L = (Latitude) value for the latitude when reading out the image plate
(contrast).
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PCR Eleva Ver. 1.1 l a 17

PHILIPS PCR Eleva v11 en 4512 987 12111 Rev Af

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4512 987 12111 – en

4512 987 12111 – en

4512 987 12111 – en

PCR Eleva Version 1.1 4512 987 12111 – en

PCR Eleva Version 1.1

PCR Eleva Version 1.1

2.1 The PCR Eleva ................................................................. 2-3

2.5.3 Mercury (USA only) .......................................... 2-5

3.1 Safety ................................................................................ 3-3

3.6.3 Damage as a result of incorrect cassette insertion

3.6.5 Using Lead Letters ............................................. 3-5

3.7 Electromagnetic Compatibility .......................................... 3-5

3.8 Error messages ................................................................... 3-6

PCR Eleva Ver. 1.1 a le C e 5

4.1 System components ........................................................... 4-3

5.1 Switching on ..................................................................... 5-3

6.1 The PCR Compano plate reader ....................................... 6-3

6.2.4 Performing secondary erasure ........................... 6-17

6.2.5 Performing primary erasure ............................. 6-17

6.3 The PCR S and S Plus plate readers ................................ 6-19

6.3.1 Distinguishing features ..................................... 6-19

6.3.2 Switching on/off .............................................. 6-19

6.3.4 Performing secondary erasure ........................... 6-25

a le C e PCR Eleva Ver. 1.1

6.4 The PCR AC500, AC5000 and Cosima plate readers

6.7.2 Notes on radiography techniques with UNIQUE

7.1 About this Chapter ............................................................ 7-3

7.4 In an emergency ................................................................ 7-9

8.1 The Patient list .................................................................. 8-3

PCR Eleva Ver. 1.1 a le C e 7

8.2 Entering patient and examination data .............................. 8-5

9.1 The Examination section ................................................... 9-3

10.1 The Review section ......................................................... 10-3

10.3 Image processing tool functions ...................................... 10-5

10.4.1 Calling up image processing tools ..................... 10-6

10.4.2 Setting Contrast and Brightness ....................... 10-7

10.4.3 Setting image processing protocols ................... 10-8

10.4.4 Setting image processing parameters ................. 10-9

8 a le C e PCR Eleva Ver. 1.1

10.4.7 Shutter Function ............................................ 10-12

11.1 Overview ......................................................................... 11-3

11.1.11 Using the template editor ............................... 11-17

12.1 What is iSite? .................................................................. 12-3

13.1 The System section ......................................................... 13-3

14.1 Service ............................................................................. 14-3

14.1.1 Safety Checks ................................................... 14-3

14.1.2 Repairs ............................................................. 14-4

14.1.3 Recording Results ............................................. 14-4

PCR Eleva Ver. 1.1 a le C e 9

14.2 Tests by the user .............................................................. 14-4

15.1 General data .................................................................... 15-3

16.1 Notes on Radiography Techniques with UM and DRR

16.2 If the barcode reader is not working .............................. 16-11

16.3 Error messages ............................................................... 16-12

16.3.1 What you should know .................................. 16-12

16.3.2 Type 1 messages ............................................. 16-13

16.3.3 Type 2 messages ............................................. 16-20

1 a le C e PCR Eleva Ver. 1.1

PCR Eleva Ver. 1.1 a le C e 11

12 a le C e PCR Eleva Ver. 1.1

PCR Eleva Ver. 1.1 a le C e 11